Claims Processing Director jobs in Monterey, CA

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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Claims Settlement Coordinator
  • Buyers Edge Platform, LLC
  • Salinas, CA FULL_TIME
  • Who are we?

    Produce Alliance specializes in delivery of fresh produce to restaurants and other foodservice operators at higher quality and better prices. We provide fresh produce category management services including procurement, national distribution, information services and food safety assurance to food service clients across North America, the Caribbean and beyond. Produce Alliance manages and alliance of 50 independently owned specialty distributors of fresh products. Each distributor is carefully selected and commits to full compliance with our audited distribution, purchasing, and category management programs designed for client success. As a Buyers Edge Platform company, we are committed to providing our clients with unprecedented service, superior access to high-quality fresh produce, commodity expertise and strategic supply chain solutions. 

    This position is based out of our office located in Salinas, CA. We are unable to offer work sponsorship for this role. 

    Your impact:

    • Doing Trouble Reports/Claims
    • Making sure files are marked correctly for troubles
    • Keeping a detailed list of all trouble reports for the buyer/buyers they assist
    • Following up and making sure troubles are settled in a timely manner
    • Entering troubles into the system
    • Making sure the troubles are resolved and closed out in the system
    • Putting the Troubles/Claims in the attachments and shipping the files accordingly
    • Making sure Troubles/Claims are done in the correct format

    About you:

    • Working knowledge of computers
    • Detail oriented
    • Organized
    • Able to manage deadlines and priorities
    • Previous experience would be ideal but is not necessary

     

    What's in this for you?

    Amazing coverages to start. Medical, dental, and vision coverages are just the beginning! We also offer ancillary plans, such as flexible spending accounts for both health and dependent care, critical illness, accident, and voluntary life as well as company paid life and long-term-disability plans! On top of this, we also offer a 401(k) plan with company match.

    Invest in your success. We will provide you with a thorough training and development program; and offer competitive compensation.

    Live well = Work well. Relax with our Personal Responsibility Paid Time Off policy where you don’t have to accrue time off in order to take it! 

  • 10 Days Ago

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Sterile Processing Technician
  • Monterey Practice Management
  • Monterey, CA FULL_TIME
  • The Sterile Processing Technician is responsible for supporting the operations of the Sterile Processing Department of the Monterey Bay Endoscopy Center.This position is in our Central Sterile Process...
  • 5 Days Ago

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Processing Engineering Manager
  • Recruiting From Scratch
  • Carmel, CA FULL_TIME
  • Who is Recruiting from Scratch: Recruiting from Scratch is a premier talent firm that focuses on placing the best product managers, software, and hardware talent at innovative companies. Our team is 1...
  • 12 Days Ago

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Workers Compensation Claims Assistant I
  • Intercare Holdings Insurance Services
  • Salinas, CA FULL_TIME
  • DescriptionSummary:Reports directly to the unit Claims Supervisor but takes primary direction for the assigned Claims Specialist(s). Responsible for providing clerical operations support to assigned C...
  • 1 Month Ago

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Independent Insurance Claims Adjuster in King City, California
  • MileHigh Adjusters Houston Inc
  • King, CA FULL_TIME
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
  • 20 Days Ago

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Independent Insurance Claims Adjuster in Marina, California
  • MileHigh Adjusters Houston Inc
  • Marina, CA FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • Just Posted

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0 Claims Processing Director jobs found in Monterey, CA area

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Insurance Agent (Sales, Customer Service)
  • Freeway Insurance Services America LLC
  • Salinas, CA
  • Sign-On Bonus Opportunity of up to $3,500* Pay Range: $50000 - $110000 / year Our Perks: Unlimited/Uncapped commission L...
  • 4/24/2024 12:00:00 AM

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Insurance Agent (Sales, Customer Service)
  • Freeway Insurance Services America LLC
  • Watsonville, CA
  • Sign-On Bonus Opportunity of up to $3,500* Pay Range: $50000 - $110000 / year Our Perks: Unlimited/Uncapped commission L...
  • 4/24/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Santa Cruz, California
  • MileHigh Adjusters Houston Inc
  • Santa Cruz, CA
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 4/24/2024 12:00:00 AM

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Community Manager III & Night Manager + 2 Bedroom (734)
  • Eden Housing
  • Marina, CA
  • Job Description Job Description:\n\nPOSITION SUMMARY Under the direction of the Property Supervisor oversees a property ...
  • 4/23/2024 12:00:00 AM

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Porter
  • Portola Hotel & Spa
  • Monterey, CA
  • Job Description Job Description JOB DESCRIPTION POSITION TITLE: Bell Attendant - Porter DEPARTMENT: Front Office REPORTS...
  • 4/22/2024 12:00:00 AM

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Santa Cruz, CA - Field Inspector - Insurance Loss Control
  • H & S Loss Control Inspections
  • Santa Cruz, CA
  • Qualified Field Inspectors for Insurance Loss Control are needed in your area! Immediate placement available. Pay: We pa...
  • 4/22/2024 12:00:00 AM

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Workers Compensation Adjuster III - Salinas
  • Intercare Holdings Insurance Services
  • Salinas, CA
  • Workers Compensation Adjuster IIISummary: Reports directly to the unit Claims Supervisor and may be called upon to provi...
  • 4/21/2024 12:00:00 AM

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Code Compliance Specialist
  • City of Santa Cruz, CA
  • Santa Cruz, CA
  • Salary : $6,072.00 - $8,544.00 Monthly Location : City of Santa Cruz, CA Job Type: Regular Full-Time Job Number: 24-076 ...
  • 4/21/2024 12:00:00 AM

Founded on June 3, 1770, Monterey (Spanish: Monterrey) was the capital of Alta California under both Spain and Mexico until 1850. Monterey hosted California's first theater, public building, public library, publicly funded school, printing press, and newspaper. Monterey was the only port of entry for taxable goods in California. In 1846, the U.S. flag was raised over the Customs House, and California became part of the United States after the Mexican–American War. The city is located in Monterey County in the U.S. state of California, on the southern edge of Monterey Bay on California's Cent...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$176,058 to $236,587
Monterey, California area prices
were up 2.5% from a year ago

Claims Processing Director in Portsmouth, NH
Insurance claims and processing clerks work closely with insurance brokers and agents, handling the administrative duties behind insurance policy renewals, claims processing and new policies.
December 28, 2019
Claims Processing Director in Santa Barbara, CA
Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software.
February 08, 2020
Claims Processing Director in San Diego, CA
Pulpstream makes it possible for you to have one system for tracking all claims.
January 07, 2020