Claims Processing Manager jobs in Wheeling, WV

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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Coil Processing Group/ CPG Manager
  • MRCC Solutions
  • Ravenswood, WV FULL_TIME
  • Title: Coil Processing Group/CPG Manager

    Location: Ravenswood, WV (Onsite)

    Duration: FULLTIME

    Position Summary:

    · Manage coil process and product through maintenance & improvement efforts to optimize performance, maximize material recovery, eliminate process waste and improve conversion costs through technical solutions, training and process control.

    · Maintain all metallurgical, technical and quality requirements of the customer specifications for coil products.

    · Manage CPG Quality Management Systems and improve Customer Quality Satisfaction

    · Technical leader - Direct supervisor of CPG area process & quality professionals.

    · Manage CPG department technical team & reduce quality losses

    · Accountable for project tracking and report out for quality KPI

    · Maintain and improve CPG processing practices to improve product capability & performance, process effeciency and material recovery.

    · Directly supervise area quality & process engineer(s) and/or metallurgist(s).

    · Train & guide area quality & process engineer(s) and/or metallurgist(s), in implementing area process improvements to support customer needs for process control.

    · Provide Technical expertise & support to daily activities of CPG department

    · Manage all appropriate technical practices, customer & special process specifications and formal reports.

    · Manage investigation, data analysis and implementation of solutions to complex problems involving multiple production centers and technical aspects

    · Envision opportunities for process improvement and act on those ideas through equipment modification, process improvement, material changes, etc. Effectively use data & technical knowledge to understand the existing process capability and the opportunity for improvement.

    · Utilize data-driven, structured approach to root cause analysis and problem-solving to achieve desired results

    · Interact and lead across multiple areas and levels of the organization.

    · Manage processes to maintain compliance to Ravenswood Quality Systems by working closely with the Central Quality group

    · Manage qualification of process performed through newly installed/upgraded equipment

    · Lead and maintain all department SOP’s, Calibration documentation, Process FMEA’s & Control Plans

    · Support Coil New Product Development

    Significant Relationships:

    Internal

    · CPG Department Quality team

    · CPG Department Management

    · CPG Department Hourly Personnel

    · Roll shop

    · Central Quality team

    · Casting and Hotline Department Technical/Quality resources

    · Maintenance & Reliability Managers/Engineers

    · Process development metallurgists

    · Customer Application Engineers

    External

    · Customers

    · External auditors

    · Client research center & sister facilities

    · Outside labs

    · Converters

    · Suppliers/Vendors

    Requirements:

    · Bachelor’s Degree in an Engineering field or equivalent - Metallurgy or Materials Science preferred

    · 5-10 years’ experience in Manufacturing

    · Ability to supervise & guide technical professionals

    · Demonstrated Project Management Skills

    · Capable of leading multi-functional teams

    · Well-developed analytical & statistical skills

    · Experience with Lean & Six Sigma methodologies

    · Manufacturing experience with aluminum rolling preferred

    Job Type: Full-time

    Pay: $140,000.00 - $155,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • Monday to Friday

    Education:

    • Bachelor's (Required)

    Experience:

    • CPG - Coil Process Group: 1 year (Required)

    Ability to Commute:

    • Ravenswood, WV 26164 (Required)

    Work Location: In person

  • 1 Month Ago

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National Sales Manager Credit Card Processing
  • Valor Merchant Services
  • Wheeling, WV FULL_TIME
  • We need a Sales Manager who can manage our growing team of sales reps and help us make more money! You'll be in charge of streamlining the sales process, making sure that we're following protocol, and...
  • 1 Month Ago

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Processing technician
  • CSL
  • Parkersburg, WV FULL_TIME
  • Description 1 In compliance with Standard Operating Procedures (SOPs), responsible for collecting plasma samples and moving plasma units to freezer to ensure product quality. 2 Ensures plasma units ar...
  • 1 Day Ago

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Sterile Processing Technician
  • Trustaff
  • Wheeling, WV FULL_TIME
  • As a Sterile Processing Technician, you are a critical part of ensuring a clean, pathogen-free patient environment. Sterile Processing Techs document, inspect, and decontaminate medical instruments an...
  • 17 Days Ago

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Sterile processing Technician
  • East Ohio Regional Hospital
  • Martins Ferry, OH FULL_TIME
  • DescriptionThe Sterile processing Technician handles instruments, supplies and equipment necessary for surgery and patient care. Primary duties are cleaning, disinfecting, sterilizing, setting and pro...
  • 3 Days Ago

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Sterile processing technician
  • Ohio Valley Medical Center
  • Martins Ferry, OH FULL_TIME
  • Description The Sterile processing Technician handles instruments, supplies and equipment necessary for surgery and patient care. Primary duties are cleaning, disinfecting, sterilizing, setting and pr...
  • 5 Days Ago

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0 Claims Processing Manager jobs found in Wheeling, WV area

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Director, Case Management
  • The Health Plan of West Virginia Inc
  • Wheeling, WV
  • Job Description Job Description The Director of Case Management provides leadership, management, oversight, and assessme...
  • 4/26/2024 12:00:00 AM

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Vice President Pharmacy Services
  • The Health Plan of West Virginia Inc
  • Wheeling, WV
  • Job Description Job Description POSITION SUMMARY: Responsible for providing the company strategic pharmacy services lead...
  • 4/26/2024 12:00:00 AM

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Director, Utilization Management
  • The Health Plan of West Virginia Inc
  • Wheeling, WV
  • Job Description Job Description The Director of Utilization Management provides leadership, management, oversight, and a...
  • 4/26/2024 12:00:00 AM

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Branch Manager
  • Premier Bank
  • Saint Clairsville, OH
  • Position Title: Branch Manager I Department: Retail Banking Position Reports to: District Manager Position Supervises: R...
  • 4/26/2024 12:00:00 AM

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Branch Manager
  • First Federal Bank
  • Saint Clairsville, OH
  • Position Title: Branch Manager I Department: Retail Banking Position Reports to: District Manager Position Supervises: R...
  • 4/24/2024 12:00:00 AM

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Office Manager
  • Laborers' International Union of North America, Local 1149
  • Wheeling, WV
  • Job Description Job Description We are looking to hire an Office Manager to join our team! You will be responsible for o...
  • 4/23/2024 12:00:00 AM

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Vice President Pharmacy Services
  • The Health Plan
  • Wheeling, WV
  • POSITION SUMMARY: Responsible for providing the company strategic pharmacy services leadership and direction. Leads the ...
  • 4/23/2024 12:00:00 AM

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Director, Total Rewards and HRIS
  • Hrt Solutions
  • Weirton, WV
  • Director, Total Rewards and HRIS Location: Pittsburgh/Weirton region Work Type: Hybrid (on-site in Weirton, WV 3 days/we...
  • 4/22/2024 12:00:00 AM

Wheeling is a city in Ohio and Marshall counties in the U.S. state of West Virginia. Located almost entirely in Ohio County, of which it is the county seat, it lies along the Ohio River in the foothills of the Appalachian Mountains. Wheeling was originally a settlement in the British colony of Virginia and later an important city in the Commonwealth of Virginia. Wheeling was the first state capital of West Virginia. Due to its location along major transportation routes, including the Ohio River, National Road, and the B&O Railroad, Wheeling became a manufacturing center in the late nineteenth...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$92,987 to $120,099
Wheeling, West Virginia area prices
were up 1.2% from a year ago

Claims Processing Manager in Austin, TX
These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
January 26, 2020
Claims Processing Manager in Topeka, KS
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
Claims Processing Manager in Youngstown, OH
A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
December 11, 2019