Claims Manager jobs in Apache Junction, AZ
Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to a director. The Claims 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. To be a Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Recently Added Claims Manager jobs
- Oscar Health
-
Tempe, AZ
FULL_TIME
-
Hi, we're Oscar. We're hiring a Manager, Claims Optimization to join our Claims Design team.
Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role
The Manager, Claims Optimization leads a team tasked with tactical and strategic initiatives with the goal of improving overall claim outcomes across a series of key performance metrics. The Manager plays a critical role in the overall claims improvement apparatus by providing leadership, structure and organization, enabling the team to succeed.
You will report to the Senior Manager, Claims Design.
Work Location:
Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
This is a hybrid role in our Tempe, Arizona office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid
Pay Transparency:
The base pay for this role is: $92,880 - $121,905 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities
- Be the subject matter expert for Claims operations through knowledge and expertise of Oscar's claim platform, claim regulatory requirements and operational workflows, and subrogation.
- Manage a complex portfolio of initiatives and deliverables and proactively identify areas of opportunity to improve key performance indicators
- Develop team workflows and guidelines that produce consistent and measurable outcomes; train, teach and mentor team members to become more proficient and effective.
- Improve Post Payment recovery processes, and engage with Post Payment vendors.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Qualifications
- A bachelor's degree or 4 years of commensurate experience
- 4 years experience in operations, healthcare, data analytics, engineering and/or consulting
- 4 years of experience analyzing data to solve complex business problems
- 2 years of experience leading and developing a team
- 2 years experience designing, implementing and improving business workflows
Bonus points
- Process Improvement or Lean Six Sigma training, certification
- Experience developing project plans in collaboration with internal and external stakeholders
- Experience with healthcare claims processing
- Experience managing in a healthcare claims organization
- Experience with SQL and basic SQL abilities
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives..
Pay Transparency:
Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience.
Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Reasonable Accommodation:
Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
- 18 Days Ago
- Berkley
-
Scottsdale, AZ
OTHER
- Company Details As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers country...
- 8 Days Ago
- Acosta Group
-
Scottsdale, AZ
FULL_TIME
- **RESPONSIBILITIES** **Supervise** and evaluate deduction/vendor claims specialist/analyst. Assign responsibilities. Assist with on-the-job training/mentoring of all claims/deductions specialists and ...
- 1 Month Ago
- FBL Financial Group, Inc.
-
Gilbert, AZ
FULL_TIME
- Business Center Claims ManagerIf you have a claims background and are ready to take on the opportunity of leading a casualty claims unit, this may be a great opportunity for you!Who We Are: With Farm ...
- 1 Month Ago
- TheBest Claims Solutions
-
Scottsdale, AZ
FULL_TIME
- Our client, who is a National Third Party Administrator, is looking for an Auto PD Adjuster for their Scottsdale office. This employee will be able to work remotely after a training period. #INDH Requ...
- 2 Days Ago
- TheBest Claims Solutions
-
Scottsdale, AZ
OTHER
- Auto Liability Supervisor SCOTTSDALE, AZ 85255 | DIRECT HIRE $70,000 TO $80,000, DEPENDING ON EXPERIENCE Job Description Our client, who is a National Insurance Company, is looking for an Auto Liabili...
- 11 Days Ago
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- Apache Junction, AZ
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0 Claims Manager jobs found in Apache Junction, AZ area
- Davis Search
-
Phoenix, AZ
- Overview: Highly regarded NYSE Insurance company is seeking a Claims Manager (Director depending upon level of experienc...
- 4/26/2024 12:00:00 AM
- Vensure Employer Solutions
-
Chandler, AZ
- About Us Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, ...
- 4/26/2024 12:00:00 AM
- Usaa
-
Phoenix, AZ
- Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial secur...
- 4/26/2024 12:00:00 AM
- Aerotek
-
Tempe, AZ
- Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe,...
- 4/25/2024 12:00:00 AM
- Vensure Employer Solutions
-
Chandler, AZ
- About Us Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, ...
- 4/25/2024 12:00:00 AM
- Vensure Employer Solutions
-
Chandler, AZ
- About Us Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, ...
- 4/23/2024 12:00:00 AM
- CCMSI
-
Scottsdale, AZ
- Overview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Part...
- 4/22/2024 12:00:00 AM
- Vensure Employer Solutions
-
Chandler, AZ
- About Us Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, ...
- 4/22/2024 12:00:00 AM
About Apache Junction, Arizona
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