Claims Processing Director jobs in the United States

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. 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 requires a bachelor's degree. 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. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Warranty Claims Processing Agent
  • Warranty Claims Processing Agent
  • Canton, OH FULL_TIME
  • Job Description

    As a Warranty Claims Processing Agent, you will review and validate claims submitted by the outside sales force as well as installer and dealer network. This role requires construction knowledge and skills in service and warranty operations, strong organization and communication skills, and lends itself to considerable career growth potential. We offer a fun and challenging work environment where the right candidate will learn and grow with the company. We pride ourselves on teamwork and quality customer service.

    ESSENTIAL DUTIES AND RESPONSIBILITIES

    • Review warranty documentation for validating warranty claims

    • Support the outside sales force as well as installer and dealer network in the processing of those claims selected for review through the systematic examination of all submitted warranty claims

    • Determine warranty repair eligibility in accordance with program guidelines through technical analysis of repair, adherence to warranty policies and procedures and proper claiming of parts and labor

    • Track status of submitted claim documentation through completion

    • Provide stakeholders with feedback on warranty claim concerns detected while providing exceptional customer service

    • Advise Field Service Representatives of warranty account status with emphasis on unsettled claims

    • Track claim payment system for potential issues and review by Clients claim systems team

    Job Requirements

    COMPETENCIES and CHARACTERISTICS (preferred)

    • Knowledge Retention - To provide the highest quality support to customers, agents must be able to learn and memorize a large amount of information

    • Detail-oriented with strong organizational, negotiation, influential, and customer service skills, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently

    • Flexibility Agent should be able to aid various types of customers from different industries. They should have the ability to focus on the warranty issues, provide solutions while maintaining a professional demeanor always

    • Friendly - Project a warm and friendly image, consistently maintain a positive demeanor

    • Customer service focused - Must have the ability to stay calm in difficult situations. Must be able to gain and maintain control of customer conversations while providing world class customer service

    • Effective Communication Skills both written and spoken - Strong communication skills, listening to the caller, digesting the information and effectively conveying a solution quickly and efficiently

    • Strong analytical and problem-solving skills - Must be able to find workable solutions for any problems they might face

    EDUCATION and/or EXPERIENCE

    • Minimum of 5 years building industry claims handling experience

    • Minimum 1-2 years window & door technical background

    • Working experience with dealer and building contractor operations processes

    • High school diploma or General Equivalency Diploma (GED)

    • Proficiency with MS Office products (Outlook, Word, Excel,) and claims related software applications

    • The ability to perform basic math calculations (addition, subtraction, multiplication and division) as well as the calculation of averages and percentages

    • Ability to interpret an extensive variety of technical instructions and deal with several abstract and concrete variables

    LANGUAGE SKILLS

    • Full professional proficiency in English

    • Minimum professional proficiency in Spanish is a plus

  • Just Posted

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Complex Claims Director, Financial Institutions
  • AIG Claims, Inc.
  • , NY FULL_TIME
  • At AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director – Financial Institutions to play your part in that transformation. It’s an opportunity to grow...
  • 1 Month Ago

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Senior Complex Claims Director, Financial Lines
  • AIG Claims, Inc.
  • , NY FULL_TIME
  • At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Complex Claims Director, Financial Lines to play your part in that transformation. It’s an opportunity to grow ...
  • 1 Month Ago

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Sr Complex Claims Director - Cyber, Media & Technology
  • AIG Claims, Inc.
  • , NY FULL_TIME
  • Join us as a Senior Complex Claims Director- Cyber, Media, & Technology to grow your experience in Claims.Make your mark in ClaimsOur Claims teams are the proven problem solvers of choice for clients,...
  • 11 Days Ago

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Claims Complex Director - Healthcare Professional Liability (HPL)
  • AIG Claims, Inc.
  • San Francisco, CA FULL_TIME
  • Claims Complex Director - Healthcare Professional Liability (HPL)Join us as a Claims Complex Director to take on key responsibilities within a world-class claims function.Make your mark in ClaimsOur C...
  • 18 Days Ago

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Supervisor Claims - CLAIMS PROCESSING
  • Providence Health
  • Mission Hills, CA FULL_TIME
  • Description Working under the direction of the Manager, Claims, this position has direct responsible for the supervision of staff and for overseeing the day-to-day operations of the Claims Processing ...
  • 14 Days Ago

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Maintenance Technician
  • Jefferson Apartment Group
  • Ashburn, VA
  • Description Jefferson Apartment Group is a full-service real estate firm specializing in multifamily and mixed-use real ...
  • 12/8/2024 12:00:00 AM

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Director of People and Culture - Human Resources
  • Crescent
  • Reston, VA
  • Crescent Hotels & Resorts is seeking an experienced Director of People & Culture for the grand opening of JW Marriott Re...
  • 12/8/2024 12:00:00 AM

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Private/Non-Profit Management Liability Underwriter (Senior or AVP)
  • Zurich Insurance Company Ltd.
  • Washington, DC
  • Zurich is seeking a highly experienced and motivated Senior or AVP Private/Non-Profit Management Liability Underwriter t...
  • 12/6/2024 12:00:00 AM

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Site Safety Manager
  • Clune Construction Company
  • Vienna, VA
  • Join the Clune family where you're valued as an employee owner! Clune Construction is proud to be made up of passionate,...
  • 12/6/2024 12:00:00 AM

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Supervisor, Critical Operations
  • Quality Technology Services, LLC
  • Ashburn, VA
  • Learn what makes QTS a unique place to grow your career! (https://vimeo.com/727409140/ff26de87d4) The **Supervisor, Crit...
  • 12/5/2024 12:00:00 AM

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Deputy Director, Insurance Programs
  • Union Privilege
  • Washington, DC
  • Job Description Job Description Deputy Director, Insurance Programs Reports to the Vice President, Program Management Re...
  • 12/5/2024 12:00:00 AM

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Supervisor, Critical Operations
  • QTS Realty Trust, Inc.
  • Ashburn, VA
  • Learn what makes QTS a unique place to grow your career! The Supervisor, Critical Operations is responsible for the supe...
  • 12/4/2024 12:00:00 AM

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Analytical Chemist
  • FoodChain ID
  • Chantilly, VA
  • Company Overview For more than two decades, FoodChain ID has been at the forefront of the New Food industry, providing e...
  • 12/4/2024 12:00:00 AM

Income Estimation for Claims Processing Director jobs
$161,872 to $217,523

Career Path for Claims Processing Director