Claims Processing Manager jobs in Pennsylvania

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)

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Operations Manager
  • Custom Processing Services
  • Reading, PA FULL_TIME
  • Company DescriptionCustom Processing Services provides contract manufacturing/toll processing services to a wide variety of industries. Specialized processes center on particle size reduction using a number of methods including jaw crushing, pulverizing, micronizing and media milling. Additional services such as flash drying, surface treatments, blending, dispersing and packaging are also available. The Processing Pros provide new product development assistance from R&D concepts through their commercialization. In addition to CPS's technical grade facilities, a state-of-the art, dedicated building is available for cGMP processing. Job DescriptionAvailable Shift: Weekend Nights: Every Friday, Saturday and Sunday from 6:45pm to 7:15am ResponsibilitiesPersonal and team associate alignment to culture – Respect for Self, Peer, CPS, and ClientMaintain a highly focused work environment on safetyIncident avoidance and investigationHousekeeping and cleanlinessParticipate in and/or lead cross-functional team performance, focused on agreed upon metricsAssure alignment of decisions and activities with the Strategic PlanTactical duties that include:Cost Accounting ReportingProcess OptimizationShift Planning, Shift Start, and Shift Wrap Up activitiesShift Attainment (achievement), including uptime and efficiency (product viability)Material usage, including Live Inventory Entry tasksProduction Scheduling, including labor planningAssure associate interactions are professional and aligned with the Core ValuesAssure the operation is run to optimize output without sacrifice of Employee Health& Safety, and Product Quality.Perform product review and preliminary approval for releaseEnd of run review and approvalBuild PeopleInvolvement, Interest, Ownership of activities in a 24/7 operationPlant specific tasks as needed to support company certifications, systems, and programsOther functions as needed to support the overall businessQualificationsSafety mindsetExcellent communicator – verbal, written, and non-verbalExcellent team facilitation skillsStructured thinkerProblem solverHighly adept in understanding manufacturing processesISO & cGMP experienceProficiency in Microsoft Office: Excel, Word, PPTHighly detail orientedAbility to multi-task effectivelyConfident in setting and achieving performance standardsAble and willing to inspect, oversee, and hold accountability to team performanceAbility to understand and apply the role of individual, area, and team in organizational goals: Safety, Quality, Delivery, and CostPractical Lean Six Sigma/Lean Manufacturing ExperienceFamiliar with metric based performance culturesBachelor’s degree in a related field or equivalent career experiencePrefers to work in a High Performance Team setting, with self-driven accountabilityPrefers to work in a culture of Respect, for Self, Peers, CPS, and Clients.Prefers to work in a culture driven by Core Values that guide all decisions which include Accountability, Innovation, Integrity, Quality, Safety, and TeamworkAdditional InformationWhy Choose CPS?At Custom Processing Services, we offer a variety of career opportunities which allows for learning new skills, contributing to innovative solutions, and growing throughout the organization.We are proud of our core values that help us strive for excellence on our team and for our customers; accountability, innovation, integrity, quality, safety, and teamwork. What we offer:Competitive pay on a weekly pay scheduleHigh performance bonus incentives for most opportunitiesUnique work schedules that allow for work/life balanceCareer advancement programExceptional Medical, Dental, and Vision insurance available after 30 days of employment (with employer contribution)Employer-paid Health Reimbursement Account covering at least half of your Medical Insurance deductible depending on the deductible option you chooseAccess to a pre-tax, Flexible Spending Account for Healthcare and Dependent Care available after 30 days of employmentShort and Long Term Disability Insurance available after 30 days of employment10 Paid HolidaysPaid time off401(k) with employer match available after 6 months of employmentEmployee Assistance Program offering free services such as confidential counseling, legal, and financial services, will preparation, and wellness programsContinuing education and tuition reimbursement opportunities (20% off tuition at a local university!)Thanksgiving Turkey for you and your family to enjoyFun events such as our Summer Picnic, Christmas Party, Manufacturing Day celebration, and more! Equal Opportunity Employment:CPS will not unlawfully discriminate based upon race, color, sex, national origin or ancestry, religion, age disability, citizenship, marital status, military or veteran status, or any prohibited basis.  This commitment applies to all aspects of the employment relationship, including hiring, promotion, compensation, discipline, discharge, and any term or condition of employment.  All employment decisions will be made and all personnel policies construed in compliance with all applicable federal, state, and local anti-discrimination laws.  All unlawful discrimination is prohibited.Authorization to work in the United States is a precondition of employment for Custom Processing Services. Custom Processing Services and its affiliates do not accept unsolicited resumes from individual recruiters or third party recruiting agencies in response to job postings. Unsolicited resumes will be reviewed as a referral, free of any charges or fees.
  • 15 Days Ago

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Claims Processing Specialist
  • BLACKBURN'S PHYSICIANS PHARMACY
  • Tarentum, PA OTHER
  • Job Details Level: Entry Job Location: Blackburn's Corporate - Tarentum, PA Position Type: Full Time Education Level: High School Salary Range: Undisclosed Travel Percentage: None Job Shift: Day Job C...
  • 20 Days Ago

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Claims Processing Specialist
  • BLACKBURNS PHYSICIANS PHARMACY INC
  • Tarentum, PA OTHER
  • Job Details Level: Entry Job Location: Blackburn's Corporate - Tarentum, PA Position Type: Full Time Education Level: High School Salary Range: Undisclosed Travel Percentage: None Job Shift: Day Job C...
  • 22 Days Ago

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MEDICAL BILLING/CLAIMS PROCESSING SPECIALIST
  • BLACKBURN'S PHYSICIANS PHARMACY
  • Tarentum, PA FULL_TIME
  • TO BE CONSIDERED FOR THIS POSITION, PLEASE COMPLETE OUR APPLICATION AT WWW.BLACKBURNSMED.COM/CAREERS. At Blackburn’s, we are always looking to strengthen our organization by adding the best available ...
  • 12 Days Ago

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General Liability Claims Adjuster
  • TheBest Claims Solutions
  • Philadelphia, PA FULL_TIME
  • Our client is looking to add a Liability Claims Adjuster to staff. The Adjuster will be handling a mix of Commercial Auto and General Liability claims. This is a full time remote / work from home role...
  • 24 Days Ago

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Claims Manager
  • CARS Protection Plus, Inc.
  • Monroeville, PA FULL_TIME
  • Job Description Job Title: Claims Manager Reports to: Claims Director Department: Claims Schedule: M-F 8:00AM - 5:00PM EST Job Description Summary Cars Protection Plus is seeking a seasoned vehicle se...
  • Just Posted

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Processing Manager
  • The Judge Group
  • Holland, MI
  • Summary Reporting to the General Manager, plan, organize, manage and execute egg processing operations for assigned oper...
  • 3/28/2024 12:00:00 AM

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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...
  • 3/28/2024 12:00:00 AM

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Merchant Processing Manager
  • Aimbridge Hospitality
  • Plano, TX
  • Job Summary The Treasury Operations Manager – Merchant Processing is part of a team responsible for the completion of me...
  • 3/28/2024 12:00:00 AM

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Process Manager
  • Red Stag Fulfillment
  • Salt Lake City, UT
  • About the Company: Red Stag Fulfillment is a logistics and fulfillment organization built to enable companies to grow an...
  • 3/28/2024 12:00:00 AM

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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,...
  • 3/27/2024 12:00:00 AM

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Processing Manager
  • LHH
  • LHH Recruitment Solutions is currently seeking a Processing Manager in Cumberland County, NJ. This position assumes resp...
  • 3/26/2024 12:00:00 AM

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Processing Manager
  • The Judge Group
  • Eagle Grove, IA
  • Summary Reporting to the General Manager, plan, organize, manage and execute liquid egg processing operations for assign...
  • 3/25/2024 12:00:00 AM

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Sterile Processing Manager
  • Ascension
  • Appleton, WI
  • Details Department: Sterile Processing Schedule: Monday - Friday; 7:00 am - 3:30 pm Facility: Ascension St. Elizabeth Lo...
  • 3/19/2024 12:00:00 AM

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$94,527 to $122,088

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