Claims Processing Manager jobs in Ohio
Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Recently Added Claims Processing Manager jobs
IT Applications Manager
- Sedgwick Claims Management Services Inc.
-
Telecommuter OH, OH
FULL_TIME
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer IT Applications Manager PRIMARY PURPOSE: To manage activities associated with software development in a business environment; to be responsible for management and development activities for a group, section or product; and to be responsible for feasibility studies, time and cost estimates, and the establishment and implementation of applications, systems and programs. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages software development team(s) and activities associated with project development/implementation as assigned. Assists in projecting software and hardware requirements across multiple platforms and technologies; displays strong depth of knowledge in specific business subject areas. Responsible for feasibility studies, time and cost estimates, and the establishment and implementation of new or revised applications, systems and programs. Consults with and directs colleagues in other information systems sections to coordinate activities. Prepares and provides activity and progress reports to management regarding the activities of the applications systems and programming section. Manages development colleagues including answering questions, setting priorities, establishing goals and meeting deadlines. Responsible for managing timely deliverables for assigned projects, including serving in role of project manager as assigned; ensures all projects follow Sedgwick software development lifecycle (SDLC). Defines projects through research and discussions or meetings with corporate management, business partners and clients. Monitors and maintains data integrity. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. SUPERVISORY RESPONSIBILITIES Administers company personnel policies in all areas and follows company staffing standards and training recommendations. Interviews, hires and establishes colleague performance development plans; conducts colleague performance reviews. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree with major in IS or Management required. Major in Information Systems or Management strongly preferred. Experience Ten (10) years of related experience required to include seven (7) years of systems and development experience and three (3) years supervisory or project management experience required. Skills & Knowledge Thorough knowledge of systems and development and project management Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership/management/motivational skills Strong analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Taking care of people is at the heart of everything we do. Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.
- 27 Days Ago
Claims Assistant
- Sedgwick Claims Management Services Inc.
-
Dublin, OH
FULL_TIME
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
- 27 Days Ago
Senior Manager, Processing
- Kao USA, Inc.
-
Cincinnati, OH
FULL_TIME
- The role: The Sr. Manager, Processing role is responsible for leading, influencing, managing and supporting the day-to-day plant processing operations and personnel in a 3-shift, 5 days per week (week...
- 12 Days Ago
Sterile Processing Manager
- Cleveland Clinic
-
Warrensville, OH
FULL_TIME
- Join Cleveland Clinic South Pointe Hospital and experience world-class healthcare at its best. South Pointe Hospital provides state-of-the-art healthcare to all its patients. On this team, you will pr...
- 5 Days Ago
Specimen Processing Manager
- Quest Diagnostics
-
Cleveland, OH
FULL_TIME
- Overview Specimen Processing Manager - Cleveland, OH - Monday-Friday 8:00AM-5:00PM (Rotational Weekends) Oversee Specimen Processing, Imaging, Cytology Processing and Tech Ops, may also oversee some o...
- 9 Days Ago
Specimen Processing Manager
- Quest Diagnostics
-
Cleveland, OH
FULL_TIME
- Overview Specimen Processing Manager - Cleveland, OH - Monday-Friday 8:00AM-5:00PM (Rotational Weekends) Oversee Specimen Processing, Imaging, Cytology Processing and Tech Ops, may also oversee some o...
- 9 Days Ago
Claims Processing Manager jobs at Popular Companies
Manager Sterile Processing
- IASIS Healthcare
-
Tempe, AZ
- Manager Sterile ProcessingClick Here to Apply OnlineJob DescriptionLocation: Tempe St. Luke's HospitalPosted Date: 2/15/...
- 4/18/2024 12:00:00 AM
Processing Manager
- Hiring Now!
-
Lake Mills, WI
- Summary Reporting to the General Manager, plan, organize, manage and execute liquid egg processing operations for assign...
- 4/17/2024 12:00:00 AM
Mortgage Processing Manager
- Open House Lending Corporation
-
Nottingham, MD
- Job Description Job Description As a mortgage processing manager, you will manage the processing dept, work with our bor...
- 4/17/2024 12:00:00 AM
Manager, Business Process Management - (REMOTE)
- American Homes 4 Rent
-
Las Vegas, NV
- AMH Since 2012, we've grown to become one of the leading single-family rental companies and homebuilders in the country,...
- 4/16/2024 12:00:00 AM
Processing Manager
- Chobani
-
New Berlin, NY
- Summary We are seeking a dynamic and experienced Manufacturing leader to oversee and manage our dairy processing facilit...
- 4/16/2024 12:00:00 AM
Processing Manager
- LHH
-
- LHH Recruitment Solutions is currently seeking a Processing Manager in Cumberland County, NJ. This position assumes resp...
- 4/15/2024 12:00:00 AM
Process Manager
- Zobility
-
Christiansburg, VA
- This is a Direct Placement Job Opportunity Position - Technical Process Manager Location - Christiansburg, VA. Salary - ...
- 4/15/2024 12:00:00 AM
Management Trainee - Processing
- Mountaire
-
Lumber Bridge, NC
- Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
- 3/11/2024 12:00:00 AM
About Ohio
Ohio /oʊˈhaɪoʊ/ (listen) is a Midwestern state in the Great Lakes region of the United States. Of the fifty states, it is the 34th largest by area, the seventh most populous, and the tenth most densely populated. The state's capital and largest city is Columbus.
The state takes its name from the Ohio River, whose name in turn originated from the Seneca word ohiːyo', meaning "good river", "great river" or "large creek". Partitioned from the Northwest Territory, Ohio was the 17th state admitted to the Union on March 1, 1803, and the first under the Northwest Ordinance. Ohio is historically know...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$92,892 to $119,976
Most Popular Cities in Ohio for Claims Processing Manager Jobs
What does a Claims Processing Manager do?
Claims Processing Manager in Topeka, KS
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Claims Processing Manager in Pittsburgh, PA
Depending on the employer’s needs, insurance claims and processing clerks may also be responsible for interviewing clients to obtain the information required on new insurance policy applications.
January 27, 2020
Claims Processing Manager in Medford, OR
Claims Manager Plus ingests a hospital’s daily claims file and runs it through a sophisticated rules engine to modify claims based on the hospital’s defined configurations, as well as parse out claims not meeting criteria for payment.
December 11, 2019