Claims Processing Manager jobs in Chattanooga, TN

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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Manager, Voluntary Benefits Claims
  • Unum
  • Chattanooga, TN FULL_TIME
  • Job Posting End Date: May 31

    When you join the team at Unum, you become part of an organization committed to helping you thrive.

    Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:

    • Award-winning culture

    • Inclusion and diversity as a priority

    • Performance Based Incentive Plans

    • Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability

    • Generous PTO (including paid time to volunteer!)

    • Up to 9.5% 401(k) employer contribution

    • Mental health support

    • Career advancement opportunities

    • Student loan repayment options

    • Tuition reimbursement

    • Flexible work environments

    • All the benefits listed above are subject to the terms of their individual Plans.

    And that’s just the beginning…

    With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you’re directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!

    General Summary:

    This position provides leadership to professional level individuals and/or a staff of direct reports responsible for a team of employees that handle management of claims in a multi-disciplined environment. Direct reports will be responsible for a variety of tasks, including but not limited to complex customer service issues, digital transformation efforts, product design consultation, procedure enhancements, operations implementation, and people leadership.

    This individual is accountable for leading and delivering complex strategic, transformational, and growth projects with the goal of achieving operational excellence and providing a superior experience for the customer. These projects typically involve alignment across multiple products, cross-brand leadership, cross-functional engagement, and/or digital transformation. The incumbent will utilize business expertise and effective decision-making to implement strategic direction and guide their direct reports in delivering strong tactical management and initiative delivery. This individual is expected to lead others in identifying and implementing change in support of the department’s strategic goals.

    Principal Duties and Responsibilities

    • Responsible for supporting the delivery of best-in-class customer experience for voluntary benefits ensuring strong overall customer satisfaction results.
    • Manages leaders and/or individual contributors for multiple lines of business, products, and/or brands. Additional complexity and breadth contribute to the overall accountability of the job.
    • Deliver measurable and transformative business and operational strategy solutions with a high degree of ingenuity, creativity, and innovation through partnership with department leaders and cross-functional teams.
    • Leadership of a diverse team, including all aspects of people management, selection, training, resource capacity, job design, career development, coaching and performance management that creates a high-performance operating environment.
    • Attract, build, and strengthen exceptional leadership qualities at all levels of the organization.
    • Ensures quality and holds others accountable for accurate adjudication of assigned claims according to contract/plan provisions, established procedures, state regulations and appropriate risk management.
    • Establish strong, effective, and collaborative partnerships with key business area leaders, project managers and subject matter experts to identify specific business opportunities or to address business needs or problems and help build effective solutions.
    • Through data analysis, identify and implement ongoing productivity and quality enhancements in a fast-paced environment, while leading others to do the same. This includes assessing productivity level, digital transformation opportunities, taking action and/or making recommendations based on current and forecasted capacity.
    • Monitor spending to ensure the department remains within budget while identifying opportunities to increase operational efficiency.
    • Monitor results and trends, address issues/concerns that could impact profitability; report concerns that extend beyond span of control; act or recommend solutions as appropriate.
    • Identify and implement ongoing customer service, productivity, and quality enhancements in a fast-paced environment. Coach and develop others to do the same.
    • Responsible for championing a cultural change towards a customer centric organization, focused on end-to-end customer experience, operational excellence, process management, and efficiency.
    • Identify, advise and deliver on transformational solutions to complex problems, requiring a high degree of ingenuity, creativity, and innovation.
    • Support the sales organization in acquiring and retaining business. Includes support in RFPs, participation in customer finalist presentations, broker education and training and the development of effective sales/marketing materials.
    • Perform other duties as assigned.
    • May serve as back up for AVP during absences.

    Supplemental Duties and Responsibilities (as assigned):

    • Develops and sustains long standing relationships with approved partners for Voluntary Benefits Claims.
    • Establishes standards by which to assess the performance of approved partners.
    • Tracks, measures, reports, and evaluates partner performance against agreed standards ensuring to address all concerns timely.
    • Evaluates current partner management programs for Voluntary Benefits Claims and identifies ways to improve them.
    • Collaborates with partners on training, workflow changes, and implementation.
    • Ensures partner compliance with company and department policies.

    Job Specifications

    Required

    • College degree preferred plus 5-7 years of increasingly responsible management experience
    • Proven demonstration of strong leadership skills, including ability to guide others in setting direction, monitoring performance, and initiating and communicating changes in direction as needed.
    • Proven ability to excel in a fast paced, changing, dynamic environment by applying change management practices to support and drive change throughout the organization.
    • Excellent relationship and communication skills with ability to collaborate with and influence internal and external partners across all levels and geographic markets to achieve goals and maintain results.
    • Significant customer service orientation with a focus on continuous improvement to drive a best-in-class experience.
    • Demonstrated ability to influence, motivate and collaborate with others to achieve leadership goals and maintain results while leading teams to do the same.
    • Excellent project management, analytical, problem solving, time management and decision-making skills.
    • Ability to implement and drive change, including demonstrated experience and knowledge of change management principles
    • Proactively identify and advocate for areas of opportunity and implement solutions.
    • Strategic and innovative thinking and planning skills with the proven ability to think conceptually, handle ambiguity, solve complex problems, and make thoughtful recommendations that will deliver tangible results. Proven track record of developing others to do the same.
    • Ability to travel approximately 20%

    Preferred

    • Risk management experience.
    • Related professional designations
    • Claims experience, both product and system.
    • Knowledge of employee and voluntary benefits industry

    Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.

    The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.

    $75,500.00-$135,900.00

    Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.

    Company:

    Unum
  • Just Posted

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Accounting Specialist
  • Hiring Manager Calhoun GA
  • Calhoun, GA FULL_TIME
  • Accountant Duties and Responsibilities Using bookkeeping databases, spreadsheets and software Posting financial transactions using appropriate computer software Receiving and recording vouchers, cash ...
  • 4 Days Ago

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Processing Technician
  • Default Board
  • Chattanooga, TN FULL_TIME
  • GENERAL DONOR CENTER — ENTRY-LEVEL Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We’re growing fast. [You c...
  • 13 Days Ago

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Processing operator
  • Mars
  • Chattanooga, TN FULL_TIME
  • JOB DESCRIPTION Job Description : Mars Wrigley TNN Site Chattanooga, TN A Shift LifeSaver Gummies Processing Relief Operator 12 Hour Day Shift (follows a 2-2-3 Rotation) $1,500 Sign On Bonus for exter...
  • Just Posted

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Claims Processor
  • SpotlightStaff.com
  • Rossville, GA FULL_TIME
  • Overview: We are seeking a detail-oriented and organized individual to join our team as a Claims Processor. As a Claims Processor, you will be responsible for accurately processing and reviewing medic...
  • 25 Days Ago

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Claims Expert
  • SpotlightStaff.com
  • Chickamauga, GA FULL_TIME
  • Job Overview: We are seeking a highly skilled and detail-oriented Claims Expert to join our team. As a Claims Expert, you will be responsible for reviewing and processing medical claims in accordance ...
  • 25 Days Ago

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0 Claims Processing Manager jobs found in Chattanooga, TN area

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Supervisor Scheduling
  • CommonSpirit Health
  • Chattanooga, TN
  • Overview: The Chattanooga Heart Institute offers the most comprehensive cardiac care available in this region. Founded i...
  • 5/18/2024 12:00:00 AM

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Renewable - Estimating Leader - hybrid
  • Black & Veatch
  • Chattanooga, TN
  • **Renewable - Estimating Leader - hybrid** Date: May 15, 2024 Location: US Company: Black & Veatch Family of Companies *...
  • 5/18/2024 12:00:00 AM

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ServiceNow - ITSM - Manager - Consulting - Location OPEN
  • EY
  • Chattanooga, TN
  • EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these q...
  • 5/17/2024 12:00:00 AM

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Marketing Operations Assistant Manager
  • HomeServe USA
  • Chattanooga, TN
  • HomeServe USA, a Brookfield Infrastructure Group portfolio company is a Great Place to Work, and while we're biased, we'...
  • 5/17/2024 12:00:00 AM

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VP, Managing Director, Social Impact Fund
  • American Heart Association
  • Chattanooga, TN
  • **Overview** As we celebrate our Centennial year, we invite you to join us in shaping the next century of impact. Be a r...
  • 5/17/2024 12:00:00 AM

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Sr. Manager, Applications Development, HR Systems
  • American Heart Association
  • Chattanooga, TN
  • **Overview** As we celebrate our Centennial year, we invite you to join us in shaping the next century of impact. Be a r...
  • 5/17/2024 12:00:00 AM

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Project Coordinator
  • VAYAN GROUP, LLC
  • Cleveland, TN
  • Job Description Job Description Project Coordinator: Flexible, excellent communication, administrative abilities and kno...
  • 5/17/2024 12:00:00 AM

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Vice President of Operations
  • Transcard Payments LLC
  • Chattanooga, TN
  • Job Type Full-time Description Who We Are: Chattanooga-based Transcard makes frictionless payments a reality with compre...
  • 5/17/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 144.6 square miles (374.4 km2), of which 137.1 square miles (355.2 km2) are land and 7.4 square miles (19.2 km2), or 5.12%, are water. The most prominent natural features in and around Chattanooga are the Tennessee River and the surrounding mountains. The city is nestled between the southwestern Ridge-and-valley Appalachians and the foot of Walden's Ridge; the river separates the ridge from the western side of downtown. Several miles east, the city is bisected by Missionary Ridge. The Tennessee River is impounded by th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$86,563 to $111,802
Chattanooga, Tennessee area prices
were up 1.3% 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