Health Insurance Operations Manager jobs in Nampa, ID

Health Insurance Operations Manager manages and maintains daily health insurance operations in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Handles and settles complicated customer service issues which can not be resolved by lower level staff. Being a Health Insurance Operations Manager monitors performance of each service area. Requires a bachelor's degree or its equivalent. Additionally, Health Insurance Operations Manager typically reports to senior management or Director. The Health Insurance Operations 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. Extensive knowledge of department processes. To be a Health Insurance Operations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Department Manager - Claims and Customer Service
  • Best Life and Health Insurance Company
  • Meridian, ID FULL_TIME
  • Job description

    For more than 50 years, BEST Life and Health Insurance Company has been one of the nation’s leading insurance carriers specializing in ancillary employee benefit plans and individual ACA dental. We are currently seeking a Claims and Customer Service Manager to work full-time in our newly remodeled Corporate Offices located in Meridian, Idaho. The top applicant will have a minimum 3 years of customer service experience in a call center environment and at least 1 year in a supervisory role or lead position. If you meet any of these qualifications and want to work with the BEST company in the Boise, ID area, please send us your resume!

    SUMMARY:

    This position will ensure claims and customer service teams function with a high level of efficacy by supervising customer service and claims staff. Lead and manage the day-to-day customer service activities of providing services to members, healthcare providers, plan administrators and brokerage community using available systems and timely communication with staff in Idaho and California by performing the following duties.

    ESSENTIAL DUTIES AND RESPONSIBILITIES:

    · Provide excellent service to claims examiners in the day-to-day claims support functions and assists claims leadership with various duties, projects, training events and administrative functions as requested.

    · Give clear and concise direction to customer service representatives in day-to-day duties.

    · Facilitate training for new hires and existing staff.

    · Offer feedback to staff regarding performance of duties.

    · Suggest improvements to processes for the office and staff.

    · Manage and review new hire selections and performance review.

    · Handle escalated call situations.

    · Develops and implements clear procedures and processes related to Customer Service Department, Claims Department , office and other areas as needed

    · Ensures operation efficiency of office staff as needed; oversees communications and strategic planning related to office administration

    · Manages facility in coordination with other departments, including all aspects of office space/infrastructure for office building (eg., inside and outside appearance, moves, changes, etc..) vendor contracts and relationships

    · Manages office supplies

    · Weekly and monthly reporting

    · Other duties as assigned.

    EDUCATION/EXPERIENCE: Educational degrees must be from a US Department of Education accredited school.

    · High School Diploma AND

    · At least one (1) year experience in the medical/health/life insurance industry

    · At least three (3) years of customer service experience in a call center environment with minimum of 1 year supervisor or lead position.

    · Two (2) year college (Associate’s Degree).

    · Knowledge of HIPAA regulations preferred.

    · Spanish speaking a plus, but not required.

    Office Manager Qualifications/Skills:

    · Must have good communication skills and be able to work closely with our Executive team and employees.

    · Delegation

    · Staffing

    · Promoting process improvement

    · Reporting Skills

    · Comply with all safety policies, practices and procedures. Report all unsafe activities to supervisor and/or Human Resources.

    · Provide leadership to others through example and sharing of knowledge/skill.

    · Strong organization skills.

    · Ability to work under pressure in high volume area, and meet strict deadlines.

    · Ability to work independently with great sense of urgency.

    Benefits of working with us include:

    • 11 Company Paid Holidays
    • Competitive Wages
    • Benefits: Medical, Dental, Vision and Life Insurance
    • Short Term & Long Term Disability Coverage at no cost to our employees
    • 120 hours of Paid Time Off
    • 401k Matching $$$

    Job Type: Full-time

    Pay: From $75,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Health insurance
    • Health savings account
    • Paid time off
    • Vision insurance

    Physical setting:

    • Call center
    • Office

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Ability to commute/relocate:

    • Meridian, ID 83642: Reliably commute or willing to relocate with an employer-provided relocation package (Required)

    Experience:

    • Office management: 2 years (Preferred)
    • Customer service: 1 year (Preferred)

    Work Location: In person

  • 13 Days Ago

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Project Manager
  • American Restoration Operations LLC
  • Nampa, ID FULL_TIME
  • DISASTER KLEENUP (DK) has an immediate opening for experienced Project Manager position for our Nampa, ID location. The role of the Project Manager is to plan, execute, and finalize restoration and re...
  • 6 Days Ago

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Cleaner
  • Aware Manager
  • Boise, ID PART_TIME,FULL_TIME
  • Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
  • 17 Days Ago

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Cleaner
  • Aware Manager
  • Nampa, ID FULL_TIME,CONTRACTOR,PART_TIME
  • Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
  • 18 Days Ago

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Account Manager - Employee Benefits
  • Brown & Brown Insurance
  • Meridian, ID FULL_TIME
  • The Employee Benefits Account Manager is responsible for maintaining in force block of business which includes renewals and ongoing service throughout the year. WHAT YOU’LL DO: Review and coordinate a...
  • 21 Days Ago

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Insurance Verification Specialist - ON SITE
  • Blink Health
  • Boise, ID FULL_TIME
  • Our core mission is to delight our patients and turn them into fans by providing innovative technologies combined with best-in-class customer service. We understand that in order to do this, we must w...
  • 1 Month Ago

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0 Health Insurance Operations Manager jobs found in Nampa, ID area

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Mortgage Originator Market Leader
  • YourWayHome.com LLC
  • Nampa, ID
  • (In-House lender to 11,000 real estate agents, plus guaranteed leads) We are hiring an experienced mortgage originator t...
  • 4/17/2024 12:00:00 AM

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Project Safety Manager
  • Hansen Rice, Inc.
  • Nampa, ID
  • ** Hansen-Rice, Inc.** ** Project Safety Manager** Nampa, ID 83687 **Hansen-Rice, Inc.** Perfecting the design-build pro...
  • 4/17/2024 12:00:00 AM

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Retail Assistant Store Manager
  • GoWireless, Inc.
  • Nampa, ID
  • ** Retail Assistant Store Manager** **Job Category****:** Retail Leadership **Requisition Number****:** RETAI16153 Showi...
  • 4/17/2024 12:00:00 AM

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Chief Financial Officer
  • Treasure Valley Refrigeration
  • Nampa, ID
  • Job Description Job Description TVR Inc. is currently seeking a highly-skilled and experienced Chief Financial Officer (...
  • 4/17/2024 12:00:00 AM

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Underwriting Trainee
  • Berkley
  • Meridian, ID
  • Company Details: Berkley North Pacific is a regional insurance company that offers niche products and specialized covera...
  • 4/16/2024 12:00:00 AM

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Warehouse Associate
  • Great Floors LLC
  • Nampa, ID
  • Job Type Full-time Description JOB SUMMARY The role of Warehouse Associate is responsible for all aspects of the warehou...
  • 4/16/2024 12:00:00 AM

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Property & Casualty Licensed Insurance Rep (Remote) – (English or Bilingual Spanish)
  • Concentrix
  • Boise, ID
  • Job Title: Property & Casualty Licensed Insurance Rep (Remote) (English or Bilingual Spanish) Job Description ****Must h...
  • 4/14/2024 12:00:00 AM

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Director, Underwriting - Remote
  • Careerbuilder
  • Boise, ID
  • Prime Therapeutics Director, Underwriting - Remote Boise , Idaho Apply Now Our work matters. We help people get the medi...
  • 4/13/2024 12:00:00 AM

Nampa (/ˈnæmpə/ (listen)) is the largest city of Canyon County, Idaho. The population of Nampa was 81,557 at the 2010 census and, as of 2018, is the third-most populous city in Idaho. Nampa is about 20 miles (32 km) west of Boise along Interstate 84, and six miles (10 km) west of Meridian. Nampa is the second principal city of the Boise-Nampa metropolitan area. The name "Nampa" may have come from a Shoshoni word meaning either moccasin or footprint. Nampa is located at 43°34′29″N 116°33′49″W / 43.57472°N 116.56361°W / 43.57472; -116.56361 (43.574807, -116.563559). According to the United St...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Manager jobs
$100,453 to $136,562
Nampa, Idaho area prices
were up 2.5% from a year ago

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