Claims Operations Manager Jobs
By Accountants One At United States
Create weekly, monthly and quarterly management reports based upon data from portfolios and document effectiveness of processes
Work closely with our actuarial, M&A, and finance teams to manage portfolios
Build and manage the relationship claims service providers
Assist Claims Portfolio managers on any issues as needed
Knowledge and understanding of claims processes, systems and handling
Deep experience of Excel and Power BI/PowerApps
Claims Success Manager [Experienced]
By Elite Resolutions - Public Adjusting Company At United States
Organization: Strong organizational skills to manage multiple claims effectively.
Non-Traditional: Embraces a flexible and adaptive approach to claim management.
Minimum of 3 years of demonstrated experience in a leadership/managerial role.
Proficiency in Xactimate and other relevant claims management software.
Intelligence: Possesses intelligence and problem-solving skills to handle complex claims.
Strong knowledge of estimating processes and scoping guidelines.
Construction Claims Manager Jobs
By DUAL North America At United States
Job Requirements (education, experience, skills):
· Must have at least 2 years’ experience as a supervisor or manager
· Bachelor’s degree or equivalent experience required.
· 10 + years of overall claims experience preferred
· Excellent oral and written communication skills
· Excellent customer service and negotiation skills
Manager, Claims (Life) Jobs
By Transamerica At United States
Bachelors degree or equivalent work experience required.
Minimum of 5 years of claims experience.
Leadership skills which fosters an environment of respect, support, and growth within team and peers.
Problem solving and analytical skills.
Excellent oral and written communication skills.
Plans and organizes the work of Examiners.
Claims Manager Jobs
By DUAL North America At United States
Job Requirements (education, experience, skills):
College graduate and/or applicable insurance industry training and/or experience.
Exceptional oral, written, and interpersonal communication skills
Excellent customer service and negotiation skills
Strong organizational skills, attention to deal, and ability to multitask.
Knowledge of MS Office applications, related claims and business software
Manager, Pbm Claims Administration (Medicare)
By Abarca Health At United States
Experience with Healthcare, Pharmacy Network, and Pharmacy Benefit Management industries, Medicaid/Medicare Part D, and CMS regulations.
Experience applying analytical and troubleshooting skills to claims administration operations.
Experience establishing rapport with internal operational teams as well as stakeholders and clients via interpersonal skills.
8+ years of experience in Pharmacy Claim Operations, including 4+ years of supervisory experience.
Experience working with SQL and Excel tools.
Excellent oral and written communication skills.

Are you looking for a challenging and rewarding Claims Manager role? Join our team and help us provide exceptional customer service while managing a portfolio of claims. You'll have the opportunity to use your expertise to ensure that our customers receive the best possible outcomes. Apply now and become part of our team!

Overview of Claims Manager A Claims Manager is responsible for managing the claims process for an organization. They are responsible for ensuring that claims are processed in a timely and efficient manner, as well as ensuring that all claims are handled in accordance with the organization’s policies and procedures. They are also responsible for providing guidance and support to staff and customers in the claims process. Detailed Job Description of Claims Manager The Claims Manager is responsible for overseeing the claims process for an organization. This includes managing the claims process from start to finish, including the initial filing of the claim, the investigation of the claim, and the resolution of the claim. The Claims Manager is also responsible for ensuring that all claims are handled in accordance with the organization’s policies and procedures. The Claims Manager is also responsible for providing guidance and support to staff and customers in the claims process. The Claims Manager is responsible for ensuring that all claims are processed in a timely and efficient manner. This includes ensuring that all claims are properly documented, that all relevant information is gathered, and that all claims are resolved in a timely manner. The Claims Manager is also responsible for ensuring that all claims are handled in accordance with the organization’s policies and procedures. The Claims Manager is also responsible for providing guidance and support to staff and customers in the claims process. This includes providing training and support to staff on the claims process, as well as providing guidance and support to customers in the claims process. Job Skills Required
• Excellent communication and interpersonal skills
• Strong organizational and problem-solving skills
• Ability to work independently and as part of a team
• Ability to manage multiple tasks and prioritize workload
• Knowledge of claims processing and procedures
• Knowledge of relevant laws and regulations
• Knowledge of customer service principles
Job Qualifications
• Bachelor’s degree in business, finance, or a related field
• At least 5 years of experience in claims management
• Knowledge of relevant laws and regulations
• Knowledge of customer service principles
Job Knowledge
• Knowledge of claims processing and procedures
• Knowledge of relevant laws and regulations
• Knowledge of customer service principles
• Knowledge of insurance policies and procedures
• Knowledge of risk management principles
Job Experience
• At least 5 years of experience in claims management
• Experience in customer service
• Experience in risk management
• Experience in insurance policies and procedures
Job Respons