Also referred to as: Claims Process Operations Director
Requirements and Responsibilities

Claims Processing Director oversees one or more departments responsible for inputting new insurance claims, processing payments, conducting billing research and responding to telephone inquires. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director typically requires a bachelor's degree of business administration. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Claims Processing Director typically requires 5+ years of managerial experience.

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