Claims Manager

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Claims Manager Full Time Honolulu, HI, US 20 days ago Requisition ID: 1004 Salary Range: $55,000.00 To $80,000.00 Annually Summary Oversees the operation of the Claims Department and ensures the department meets targets with respect to turnaround time, accuracy, and other benchmarks. Supervises department employees including hiring, training, coaching, and developing employees; assigning work; and evaluating performance. Establishes department policies and procedures including processing guidelines to ensure efficiency, accuracy, and consistency in accordance with Senior Management intent, Federal and State mandates, insurance industry standards, and plan documents. Maintains and updates health plans in the claims system. Updates the claims system after new edit releases and other updates. Generates system reports and oversees the preparation of daily, weekly, monthly, and other productivity reports to monitor claim processing standards and timelines and assist in workflow distribution. Keeps current with industry changes and how they affect claims processing. Qualifications Required High school diploma or GED Excellent organizational, analytical, and time management skills Strong attention to detail Strong decision-making, leadership, presentation, problem-solving, and oral and written communication skills Able to consistently meet deadlines Effectively present information in one-on-one and small group situations to customers, clients, Senior Management, and other employees of the Company Intermediate-level proficiency in Microsoft Word and Excel Preferred College degree in Business Administration, Healthcare Management or related field; five years of experience in claims supervision or management or related experience; or equivalent combination of education and experience Proficient in medical terminology, medical billing, and medical coding Thorough knowledge of claims administration, regulations, and processing systems Starting Salary Range: $55,000 - $80,000. Full salary range is broader and depends on experience. #J-18808-Ljbffr