Claims Processing Manager jobs in Aurora, IL

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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Information Technology Program Manager (Policy and Planning)
  • U.S. Military Entrance Processing Command
  • Chicago, IL FULL_TIME
  • Duties

    • As an Information Technology Program Manager (Policy and Planning), you will:
    • Serve as Command's Deputy Chief Information Officer which includes managing the J-6 Information Technology (IT) Directorate Programs.
    • Develop a portion of the IT strategic plan.
    • Develop affordable and executable information master plans as part of the Command Strategic Plan.
    • Ensure Cyber-security practices are enforced and security certifications obtained for IT systems.
    • Support modernization and agile DEVSECOPS IT product development and delivery.
    • Development affordable and executable information master plans as part of the Command Strategic Plan.
    • Determine appropriateness of contactor performed work
    • Provide oversight of projects and resources (i.e., monitoring costs, work, and contractor performance).
    • Supervise the performance of subordinates within the Command.
    • Oversee resolution of serious/complex grievances/complaints of employees
    • Oversee resources (manpower, equipment, funding) for the Directorate.
    • Prepare training plans and performance evaluations for subordinate employees/supervisors.
    • Develop IT policies for the Command.

    Requirements

    Conditions of Employment

    • Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.

    Qualifications

    **Telework eligible position - Position has an official duty location of North Chicago, IL and is eligible for Situational Telework at the discretion of the Command. This position is NOT eligible for remote work (remote duty location). If telework is approved, selectees will be required to report to their official duty location as outlined in their telework agreement.**

    Who May Apply: US Citizens

    In order to qualify, you must meet the experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.

    Experience: Experience must be IT related; the experience may be demonstrated by paid or unpaid experience and/or completion of specific, intensive training (for example, IT certification), as appropriate. Individuals must have IT-related experience demonstrating each of the four competencies listed below:

    1. Attention to Detail - Is thorough when performing work and conscientious about attending to detail.

    2. Customer Service - Works with clients and customers (that is, any individuals who use or receive the services or products that your work unit produces, including the general public, individuals who work in the agency, other agencies, or organizations outside the Government) to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations; knows about available products and services; is committed to providing quality products and services.

    3. Oral Communication - Expresses information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information (for example, technical, sensitive, controversial); makes clear and convincing oral presentations; listens to others, attends to nonverbal cues, and responds appropriately.

    4. Problem Solving - Identifies problems; determines accuracy and relevance of information; uses sound judgment to generate and evaluate alternatives, and to make recommendations.

    AND

    Specialized Experience: One year of specialized experience. Specialized experience is defined as experience that is typically in or related to the work of the position to be filled, including: Evaluating information technology services to formulate strategic plans to cover near and long term requirements to meet organization goals; Overseeing the organization's information technology resources to develop operational budgets and contracts; Developing and following up on new initiatives, policies and/or procedures to improve and modernize operations and services in the organization; Applying information technology policies, principles, and practices in the delivery of planning, management and technical services; Conducting research to identify new trends in information technology systems hardware/software; Ensuring cybersecurity practices are enforced and security certifications obtained for information technology systems. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-13)

    Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone-no substitution of education for experience is permitted.

    Education

    This job does not have an education qualification requirement.

    Additional information

    • Male applicants born after December 31, 1959, must complete a Pre-Employment Certification Statement for Selective Service Registration.
    • You will be required to provide proof of U.S. Citizenship.
    • One year trial/probationary period may be required.
    • One year supervisory probationary period may be required.
    • Direct Deposit of Pay is required.
    • This position requires you to submit a Public Financial Disclosure Report (OGE 278) or a Confidential Financial Disclosure Report (OGE450) upon entry, and annually thereafter.
    • Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
    • If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
    • This is a Digital Technology Career Field position.
    • Multiple positions may be filled from this announcement.
    • Recruitment/Relocation incentive may be authorized if determined to be in the best interest of the Federal Government and requirements are met.
    • Salary includes applicable locality pay or Local Market Supplement.
    • When you perform a Civilian Permanent Change of Station (PCS) with the government, the Internal Revenue Service (IRS) considers the majority of your entitlements to be taxable. Visit https://www.dfas.mil/civilianemployees/civrelo/Civilian-Moving-Expenses-Tax-Deduction/ for more information.
    • Permanent Change of Station (PCS) allowances MAY be authorized, subject to the provisions of the Joint Travel Regulations and an agency determination that a PCS move is in the Government Interest.

    • Benefits

      A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

      Review our benefits

      Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

    How You Will Be Evaluated

    You will be evaluated for this job based on how well you meet the qualifications above.

    Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement.

    If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility.

    You should list any relevant performance appraisals and incentive awards in your resume as that information may be taken into consideration during the selection process. If selected, you may be required to provide supporting documentation.

    Veterans and Military Spouses will be considered along with all other candidates.

    • Benefits

      A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

      Review our benefits

      Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

    • Required Documents

      As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.

      The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements.

      As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.

      1. Your resume:

      • Your resume may be submitted in any format and must support the specialized experience described in this announcement.
      • If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations and you may not be considered for this vacancy.
      • For qualifications determinations your resume must contain hours worked per week and the dates of employment (i.e., HRS per week and month/year to month/year or month/year to present). If your resume does not contain this information, your application may be marked as incomplete and you may not receive consideration for this position.
      • For additional information see: What to include in your resume.
      2. Other supporting documents:
      • Cover Letter, optional
      • Most recent Performance Appraisal, if applicable
      NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility.
    • How to Apply

      To apply for this position, you must complete the online questionnaire and submit the documentation specified in the Required Documents section above.

      The complete application package must be submitted by 11:59 PM (EST) on 04/08/2024 to receive consideration

      • To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application (https://apply.usastaffing.gov/ViewQuestionnaire/12364146).
      • Follow the prompts to select your resume and/or other supporting documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
      • After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process.
      • You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.
      • It is your responsibility to verify that your application package (resume, supporting documents, and responses to the questionnaire) is complete, accurate, and submitted by the closing date. Uploaded documents may take up to one hour to clear the virus scan.
      • Additional information on how to complete the online application process and submit your online application may be found on the USA Staffing Applicant Resource Center.
      To verify the status of your application, log into your USAJOBS account (https://my.usajobs.gov/Account/Login), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://www.usajobs.gov/Help/how-to/application/status/.

      Agency contact information

      Army Applicant Help Desk

      Website

      https://portal.chra.army.mil/hr_public?id=app_inq

      Address

      BR-W37NAA US ARMY MIL ENTRANCE PROCESSING CMD
      DO NOT MAIL
      North Chicago, IL 60064
      US

      Next steps

      If you provided an email address, you will receive an email message acknowledging receipt of your application. Your application package will be used to determine your eligibility, qualifications, and quality ranking (as applicable) for this position. If you are determined to be ineligible or not qualified, your application will receive no further consideration.

    • Fair and Transparent

      The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

      • Equal Employment Opportunity (EEO) Policy
      • Reasonable accommodation policy
      • Financial suitability
      • Selective Service
      • New employee probationary period
      • Signature and false statements
      • Privacy Act
      • Social security number request

    Required Documents

    The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements.

    As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.

    1. Your resume:

    • Your resume may be submitted in any format and must support the specialized experience described in this announcement.
    • If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations and you may not be considered for this vacancy.
    • For qualifications determinations your resume must contain hours worked per week and the dates of employment (i.e., HRS per week and month/year to month/year or month/year to present). If your resume does not contain this information, your application may be marked as incomplete and you may not receive consideration for this position.
    • For additional information see: What to include in your resume.
    2. Other supporting documents:
    • Cover Letter, optional
    • Most recent Performance Appraisal, if applicable
    NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility.


    Help

    This job is open to

    • The public

      U.S. Citizens, Nationals or those who owe allegiance to the U.S.

    Clarification from the agency

    US Citizens

  • 1 Month Ago

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Bilingual Spanish Claims Processing Lead (Automotive)
  • Miss Paige Ltd. d.b.a. JobGiraffe
  • Roselle, IL FULL_TIME
  • Insurance / Automotive Insurance / Claims Processing Insurance Claims Processing Lead (Automotive) - Bilingual Spanish $70,000 to start plus full benefits As Claims Processor Lead, your job duties and...
  • 14 Days Ago

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Independent Claims Adjuster ( Remote )
  • Integrity Claims Service
  • Chicago, IL CONTRACTOR
  • Integrity Claims Service is a small independent claims adjusting business expanding into several states. We only handle Property claims, no Auto or Liability. Looking for 1099 Independent contractors ...
  • 7 Days Ago

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Commercial General Liability Claims Adjuster
  • TheBest Claims Solutions
  • Schaumburg, IL FULL_TIME
  • Our client, an A rated insurance carrier, is looking to add a Commercial General Liability Claims Adjuster to their staff. This is a desk position involving litigated and non-litigated general liabili...
  • 6 Days Ago

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Commercial General Liability Claims Adjuster
  • TheBest Claims Solutions
  • Chicago, IL FULL_TIME
  • Commercial General Liability Claims Adjuster CHICAGO, IL 60007 | DIRECT HIRE $75,000 TO $90,000 ANNUALLY, DEPENDING ON EXPERIENCE Job Description Our client, an A rated insurance carrier, is looking t...
  • 1 Month Ago

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Adjunct Instructor - Sterile Processing
  • Sterile Processing - CCC Careers
  • Chicago, IL FULL_TIME
  • ADJUNCT INSTRUCTOR - STERILE PROCESSING MALCOLM X COLLEGE Malcolm X College is currently seeking an Adjunct Instructor to teach Sterile Processing during the Fall semester. If you have passion for tea...
  • 1 Month Ago

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0 Claims Processing Manager jobs found in Aurora, IL area

D
Processing Manager
  • Diageo
  • Plainfield, IL
  • Job Description : Title: Processing Manager Our performance ambition is to be one of the best performing, most trusted a...
  • 4/29/2024 12:00:00 AM

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Processing Manager
  • Diageo
  • Plainfield, IL
  • Job Description :Title: Processing ManagerOur performance ambition is to be one of the best performing, most trusted and...
  • 4/29/2024 12:00:00 AM

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AVP/Mortgage Processing Manager
  • Devonislamic
  • Chicago, IL
  • All Jobs > AVP/Mortgage Processing ManagerThe AVP/Mortgage Processing Manager has overall operational responsibility to ...
  • 4/29/2024 12:00:00 AM

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On-Site Document Processing Manager
  • Avenu Insights & Analytics
  • Chicago, IL
  • Job Description Job Description Job Summary: Avenu is currently seeking a skilled and motivated On-Site Document Process...
  • 4/29/2024 12:00:00 AM

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Production Manager - Batch Processing
  • JSK Recruiting, Inc
  • Channahon, IL
  • Job Description Job Description Production Manager – Processing Chemical organization with 12 locations in North America...
  • 4/29/2024 12:00:00 AM

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Senior Manager Business Process (Supply Chain)
  • Walgreens
  • Northbrook, IL
  • Job SummaryResponsible for providing specialized expertise through project or process management. Responsible for leadin...
  • 4/28/2024 12:00:00 AM

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Manager, Revenue Process & Controls
  • CF Industries Employee Services LLC
  • Northbrook, IL
  • At CF Industries, our mission is to provide clean energy to feed and fuel the world sustainably. Our employees are focus...
  • 3/31/2024 12:00:00 AM

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Manager, Revenue Process & Controls
  • CF Industries Employee Services LLC
  • Northbrook, IL
  • At CF Industries, our mission is to provide clean energy to feed and fuel the world sustainably. Our employees are focus...
  • 3/31/2024 12:00:00 AM

Aurora, a suburb of Chicago, is a city in DuPage, Kane, Kendall, and Will counties in the U.S. state of Illinois. Located primarily in DuPage and Kane counties, it is an outer suburb of Chicago and the second most populous city in the state, and the 114th most populous city in the country. The population was 197,899 at the 2010 census, and was estimated to have increased to 200,965 by 2017. Once a mid-sized manufacturing city, Aurora has grown since the 1960s. Founded within Kane County, Aurora's city limits and population have expanded into DuPage, Will, and Kendall counties. Between 2000 an...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$99,038 to $127,914
Aurora, Illinois area prices
were up 0.8% from a year ago

Claims Processing Manager in Austin, TX
These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
January 26, 2020
Claims Processing Manager in Topeka, KS
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
Claims Processing Manager in Youngstown, OH
A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
December 11, 2019