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

Claims Processing Manager manages staff responsible for inputting new claims, processing payments, conducting billing research and responding to telephone inquires. 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 to junior staff on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree of business administration. Typically reports to the 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. Extensive knowledge of department processes. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required.

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