Claims Processing Manager jobs in the United States

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. 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 on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a 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. To be a Claims Processing 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)

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Claims Manager
  • AIG Claims, Inc.
  • Remote, OH FULL_TIME
  • This is a hybrid role in Cincinnati Ohio requiring 3 to 4 days in office. Who we are American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks. We’re also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Get to know the business General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying times. When our clients face losses large and small, we step up to help them ease the financial burdens of catastrophic events like fires and hurricanes; we help them get their businesses back up and running again or recoup the value of a lost family heirloom or a prized possession. Our Claims team is an industry leader, drawing daily on its unparalleled levels of expertise to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of technical and market knowledge about risks, business practices, and the ever-evolving legal and regulatory environment. About the role The Claims Intake Department (CID) receives the First Notices of Loss (FNOL) and sets up Excess and Environmental Specialty Claim (ESC) claim files, as well as triaging or monitoring Notice Only Excess claim files. The claim files created in CID are for Excess Construction Defect, Mass Tort, Healthcare, ESC/Pollution, Workers Comp., General Liability, Coverage and Punitive Wrap (PW), etc. The claim files and Punitive Wrap claim files are initially assigned to CID technicians who do first party investigations to evaluate the exposure and to determine if the claim files should be opened and assigned to an adjuster (Excess Analyst) or segmented as a Notice Only for continued monitoring within CID. To varying degrees, CID’s handling of FNOL’s lays the foundation for early recognition of exposures which impacts the financial results of the company. What you need to know As a CID Manager, you will be responsible for managing a staff of Claim Intake Assistants, Segmentation Technicians and Segmentation Specialist as well as reviewing and assigning the daily new claims to the CID technicians and supporting the Frist Notice of Loss and claim creation process in CID. The position requires proven leadership skills in managing and training a staff with no prior insurance experience and to develop the staff into AIG’s next generation of claims adjusters, underwriters, operations specialist, etc. You must have a strong knowledge of the legal and claims process, as well as the different jurisdiction/venue constraints/impacts, and be able to build strong networks with the different claims units, underwriting, IT and external stakeholders and have a proven track record of delivering outstanding results. Provide weekly or frequency updates of incoming volume Maintain trial and mediation log Serve as liaison with Shared Service/Accenture for case creates Manage the Segmentation Specialists who will assist with the handling of the Punitive Wrap (PW) files Manage a pending of Excess and PW files Assign on-going active noticed only files to the Segmentation Specialists based on referral from the managers Provide feedback on goals and objectives Closely follow departmental guidelines and industry knowledge to ensure that the case is established for the correct line of business, and ensure data entry accuracy, including loss types, proper major class code selection, trend codes, etc. Train and support the Segmentation Technicians with the management and investigation of their claim files What we're looking for Proven ability to work with tight timelines when necessary Advanced working knowledge in investigating General insurance claims An understanding of local customs, insurance markets and a strong knowledge of fraud and recovery legislation is desired Commitment to data and analytics including an ability to analyze complex data sets to assess trends and identify opportunities to drive improved results An excellent communicator with a strong collaborative mindset Ability to leverage technology and analytics to achieve goals 8 years of relevant experience in claims and/or an insurance company Looking for a self-motivated Leader to lead a diverse team Knowledge of reinsurance including underwriting, claims, accounting, finance and associated process, controls and systems. Strong technical skills in Microsoft Excel, Power Point and Word (Access a plus). #LI-CY1 Enjoy benefits that take care of what matters At AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s most far-reaching property casualty networks. It is an exciting time to join us — across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become. Welcome to a culture of belonging We’re committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The diversity of our people is one of AIG’s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com. Functional Area: CL - Claims Estimated Travel Percentage (%): Relocation Provided: AIG Claims, Inc. At AIG, helping people discover new potential is our purpose. As a global risk leader, we do this for our clients every day. Through our deep expertise in their industries and our innovative solutions that help them smartly manage risk, we enable their growth in ways they never thought possible. But we also do the same thing for our employees, because we know our people are our greatest strength-the source of every insight, every idea and every innovation. When we're working as one team to do what's right for our colleagues and our communities, we can achieve excellence together. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Join our Talent Network . Additional information about AIG can be found at www.aig.com | YouTube | Twitter | LinkedIn.
  • 16 Days Ago

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Manager, Claims Processing
  • Hawaii Dental Service
  • Honolulu, HI FULL_TIME
  • POSITION SUMMARYResponsible for the efficient and effective operations of the Claims department. Performs duties and responsibilities that include managing a team of both exempt and non-exempt employe...
  • Just Posted

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Claims Processing Manager
  • Benecard Services, LLC
  • Clifton, NJ FULL_TIME
  • JOB SUMMARY: Claims Processing Manager/Examiner directly reports to the Senior Manager of the Claims Department and is an integral member of the Claims Leadership Team.ROLES AND RESPONSIBILITIES: Clai...
  • 20 Days Ago

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Group Insurance Claims Manager
  • Blackhawk Claims Services
  • Irving, TX FULL_TIME
  • Job Overview:I'M HIRING!!!!! ARE YOU THIS PERSON? ARE YOU LOOKING FOR EMPLOYMENT OR NEED A CHANGE? COME JOIN US AT BLACKHAWK CLAIMS SERVICES! https://blackhawktpa.com The Group Insurance Claims Manage...
  • 13 Days Ago

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Bodily Injury Claims Manager
  • Allcat Claims Service
  • , TX FULL_TIME
  • ABOUT ALLCAT CLAIMS SERVICE Allcat Claims Service is an energetic company that places a high emphasis on learning and personal development by supporting and challenging its people to reach their full ...
  • 16 Days Ago

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Bodily Injury Claims Manager
  • Allcat Claims Service, LLC
  • US TX Remote, TX FULL_TIME
  • ABOUT ALLCAT CLAIMS SERVICE Allcat Claims Service is an energetic company that places a high emphasis on learning and personal development by supporting and challenging its people to reach their full ...
  • 2 Months Ago

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Overseas Case Processing Manager
  • CGI Group, Inc.
  • Fairfax, VA
  • Overseas Case Processing Manager Position Description Are you passionate about making a positive impact on the lives of ...
  • 6/23/2024 12:00:00 AM

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Sr. Process Manager
  • Rose International
  • McLean, VA
  • **Only those lawfully authorized to work in the designated country associated with the position will be considered.** **...
  • 6/22/2024 12:00:00 AM

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Overseas Case Processing Manager
  • CGI
  • Fairfax, VA
  • Overseas Case Processing Manager Category: Business Analysis (functional and technical) Main location: United States, Vi...
  • 6/22/2024 12:00:00 AM

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Donor Database and Gift Processing Manager
  • N STREET VILLAGE INC
  • Washington, DC
  • Job Description Job Description Job Title: Donor Database and Gift Processing Manager Reporting to: Chief Development Of...
  • 6/22/2024 12:00:00 AM

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Business Process Manager- Modeler (REMOTE)
  • Koniag Government Services
  • Chantilly, VA
  • Kadiak, LLC Job ID 24200103 Kadiak, LLC, a Koniag Government Services company, is seeking a Business Process Manager - M...
  • 6/21/2024 12:00:00 AM

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Manager, Process Management
  • Capital One
  • Mc Lean, VA
  • Center 3 (19075), United States of America, McLean, Virginia Manager, Process Management The _People, Products, and Data...
  • 6/20/2024 12:00:00 AM

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eCommerce Operations & Process Manager (Hybrid Remote Role)
  • Reli.
  • Washington, DC
  • Reli. is a dynamic eCommerce company experiencing rapid year-over-year growth via selling on Amazon (www.amazon.com/reli...
  • 6/20/2024 12:00:00 AM

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OSP Controls Project Manager - Project Controls
  • Zayo Group, LLC
  • Ashburn, VA
  • Company Description Zayo provides mission-critical bandwidth to the world's most impactful companies, fueling the innova...
  • 6/19/2024 12:00:00 AM

Income Estimation for Claims Processing Manager jobs
$95,472 to $123,308