Claims Processing Manager jobs in Utah

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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Senior Underwriting Manager
  • National Processing LLC
  • Orem, UT FULL_TIME
  • Job Type: Full-time Onsite

    Hours: Monday - Friday 8:30am - 5:00pm

    What Differentiates Us From Other Companies

    • This position is open due to company growth
    • Meaningful work life balance - We do not work after hours, get home for uninterrupted time with family and friends
    • $1,200 yearly wellness/health bonus
    • 34 paid days off: 19 PTO 4 Sick Days 11 Bank Holidays
    • 401k with match up to 6 percent
    • Generous health insurance reimbursement & HSA program
    • Group Term Life Contribution
    • Vision and Dental Insurance
    • We use the #1 CRM - Salesforce
    • Casual dress code
    • Stocked break room
    • 1 hour lunch

    About us

    National Processing is a growing fintech company, providing one of the nations highest rated payment processing services. We pride ourselves in meticulous customer service, giving back to the community, and our continued growth and success over the last 16 years.

    Responsibilities

    • Understand what constitutes risk in a B2B environment
    • Oversee the the application process from end to end
    • Perform extensive Know your customer (KYC) research and checks
    • Ensure 100% compliance with bank regulations and guidelines
    • Efficiently manage customer applications
    • Gather appropriate documentation for applications
    • Work with sales to ensure their deals are getting moved through underwriting
    • Work with underwriting to ensure deals have all required data
    • Create, calculate, and monitor Underwriting team KPIs, SLAs, goals, and daily decisions
    • Coach, mentor, and develop direct reports with the ability to influence positive changes
    • Develop employees to meet their individual career goals and the organization’s goals
    • Analyze transaction processing data and Underwriting team decisions to mitigate potential losses and/or expose opportunities  
    • Additional escalation point on all team decisions
    • Evaluate the systems, teams, procedures, and processes to then develop a clear plan of how the Underwriting team can evolve to meet the needs of various stakeholders

    Qualifications

    • At least 5 years of experience leading underwriting operations in the payments industry
    • Experience with financial services risk management and payment processors
    • Must possess the ability to think critically, holistically, and quantitatively as well as the ability to teach that mindset to others
    • Sound decision-making that stems from learning who to engage with, and knowing what information to gather mixed with a balance of speed, quality, and assessment of possible impacts to all various stakeholders  
    • Ability to work with ambiguity and make/coach decisions effectively
    • Comfort in knowing how to interpret situations holistically and assessing the odds of risk and success of mitigation techniques
    • Asking questions with a high degree of curiosity to gain a full understanding to accurately assess impact
    • Active listening and strategic negotiation
    • Successful data-driven analysis experience
    • Ability to understand Credit Risk and coach team members on best practices for analyzing potential risk through processing data and/or financial statements and ratios
    • Internal control and regulatory compliance planning, strategy, and execution experience
    • Strong communication skills
    • Deadline and detail-oriented
    • Strong time management
    • Understanding of risk analysis
  • 2 Months Ago

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Patient Support Medical/Biller Claims Processing Representative (Home-Based)
  • IQVIA INC (US10)
  • Salt Lake, UT FULL_TIME
  • As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get th...
  • 27 Days Ago

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Structural Research Specialist
  • Claims Solutions
  • Lehi, UT FULL_TIME
  • Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
  • 10 Days Ago

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Developer II
  • Claims Solutions
  • Lehi, UT FULL_TIME
  • Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
  • 20 Days Ago

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Executive Administrative Assistant
  • Claims Solutions
  • Lehi, UT OTHER
  • Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
  • 24 Days Ago

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Test Automation Team Lead- HYBRID
  • Claims Solutions
  • Lehi, UT OTHER
  • Company Description THIS IS A HYBRID POSITION, 2 DAYS A WEEK IN LEHI, UTAH. NO FULLY REMOTE OPTIONS. We help the world see new possibilities and inspire change for better tomorrows. Our analytic solut...
  • 25 Days Ago

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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

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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,...
  • 4/16/2024 12:00:00 AM

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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

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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

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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

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Director, Accounting, Process Management
  • CF Industries Employee Services LLC
  • Northbrook, IL
  • At CF Industries, our mission is to provide clean energy to feed and fuel the world sustainably. Our employees are focus...
  • 3/19/2024 12:00:00 AM

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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

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Management Trainee - Processing
  • Mountaire
  • Millsboro, DE
  • Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
  • 3/4/2024 12:00:00 AM

Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau. Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$90,327 to $116,664

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