Claims Processing Manager jobs in Edmond, OK

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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Customer Relations Manager
  • Claims Management Resources Inc
  • Oklahoma, OK FULL_TIME
  • The Customer Relations Manager oversees and is responsible for maintaining healthy customer relationships. Additionally, they serve as a primary contact person for resolving claim issues for customers. This position requires extensive interaction with customers, both internally and externally. This person must be flexible and dedicated with a passion for serving customers with integrity, a strong attention to detail, and ability to manage multiple projects at once.

    Duties and Responsibilities:

    • Acts as a proactive, in-house customer liaison; maintaining frequent communications and needs analysis for current customers.
    • Responds to customer requests for claims and settlement information.
    • Assists Sales/Marketing department in establishing and maintaining relationships with potential customers.
    • Creates reports, conducts data analysis and communicates results/conclusions to management and customers.
    • Conducts customer satisfaction surveys.
    • Manages, conducts and oversees monthly scheduled customer conference calls.
    • Serves as the operational or primary contact with customers.
    • Assist with new customer on-boarding transitions.
    • Lead projects to increase claims and create program/process efficiencies.
    • Researches and resolves claim issues by conferring with internal staff, and determines/offers resolutions to internal personnel and customer representatives.
    • Receives and reviews claim settlement offers, within customer relations settlement authority, and forwards requests to customers beyond internal settlement authority parameters.

    Required Skills:

    • Ability to think creatively
    • Proficient in Microsoft Office suite: Word, Teams, PowerPoint, Excel and Outlook
    • Ability to jump from high profile projects to lower profile-type projects
    • Strong communicator with ability to articulate ideas, both written and verbal
    • Strong analytical and problem-solving skills
    • Strong customer service skills including ability to engage with customers in meaningful ways
    • Ability to work independently and with minimal structure
    • Ability to identify and address acute issues and challenges
    • Available for light travel

    Education/Experience:

    • Associate’s Degree in related field required; Bachelor's degree preferred
    • 3 years of sales/marketing experience required.
    • 5 years in high level client services and/or sales/marketing experience are preferred.
  • 23 Days Ago

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Customer Relations Manager
  • CLAIMS MANAGEMENT RESOURCES INC
  • Oklahoma, OK OTHER
  • Job Details Job Location: OKC Office - Oklahoma City, OK Salary Range: Undisclosed DescriptionThe Customer Relations Manager oversees and is responsible for maintaining healthy customer relationships....
  • 24 Days Ago

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Property Insurance Claims Adjuster - Work From Home!
  • CLAIMS MANAGEMENT RESOURCES INC
  • Oklahoma, OK OTHER
  • Job Details Job Location: Remote - Oklahoma City, OK Salary Range: $11.54 - $15.00 Hourly DescriptionAre you interested in working for a company that not only “talks the talk” but “walks the walk”? Do...
  • 12 Days Ago

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Property Insurance Claims Adjuster - Work From Home!
  • Claims Management Resources Inc
  • Oklahoma, OK FULL_TIME
  • Are you interested in working for a company that not only “talks the talk” but “walks the walk”? Lucrative Compensation Plan! Starting base of $15.00 per hour, PLUS monthly bonus! Do you thrive in a c...
  • 13 Days Ago

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Field Project Manager for Insurance Claims
  • White Oaks Aligned LLC
  • Oklahoma, OK FULL_TIME
  • JOB SUMMARY The Field Project Manager contributes in maximizing the success and performance of their assigned area(s) and is responsible for all project scope changes, project schedule, project costs ...
  • Just Posted

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FNOL Customer Service Representative
  • Claims Management Resources Inc
  • Oklahoma, OK FULL_TIME
  • Please note: We are unable to consider candidates residing outside of the United States. In addition, applicants residing in the following states are ineligible for employment at this time: California...
  • 14 Days Ago

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0 Claims Processing Manager jobs found in Edmond, OK area

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Director Adult Central Sterile Processing
  • OU Health
  • Oklahoma City, OK
  • General Description: The Enterprise Director, Sterile Processing is responsible for the direction and leadership of oper...
  • 4/24/2024 12:00:00 AM

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Operations Manager
  • Michaels Stores, Inc.
  • Store - OKC-N. MAY, OK Lead the operational processes to deliver sales and profits while protecting our assets. Provide ...
  • 4/23/2024 12:00:00 AM

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Chief Operating Officer
  • Farm Credit
  • Edmond, OK
  • Oklahoma AgCredit provides loans, leases and financial services to farmers, ranchers and rural businesses and homeowners...
  • 4/23/2024 12:00:00 AM

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Operations Coordinator
  • Life.Church
  • Edmond, OK
  • The Operations Coordinator is primarily responsible for the logistical support for the Financial Operations Group (FOG)....
  • 4/22/2024 12:00:00 AM

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VP of Data Insights
  • Life.Church
  • Edmond, OK
  • The VP of Data Insights is primarily responsible for leading our data strategy and infrastructure, driving innovation in...
  • 4/22/2024 12:00:00 AM

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Capital Improvements Manager
  • OKLAHOMA CITY HOUSING AUTHORITY
  • Oklahoma City, OK
  • Job Details Job Location Oklahoma City Housing Authority - Oklahoma City, OK Position Type Full Time Salary Range $51,06...
  • 4/20/2024 12:00:00 AM

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Cyber Vulnerability Lead
  • Under Armour, Inc.
  • Oklahoma City, OK
  • Cyber Vulnerability Lead Date: Apr 17, 2024 Location: Remote, US Company: Under Armour Values & Innovation At Under Armo...
  • 4/20/2024 12:00:00 AM

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Project Manager, Nodal Transmission Modeling
  • Black & Veatch
  • Oklahoma City, OK
  • **Project Manager, Nodal Transmission Modeling** Date: Apr 8, 2024 Location: US Company: Black & Veatch Family of Compan...
  • 4/20/2024 12:00:00 AM

Edmond is a city in Oklahoma County, Oklahoma, United States, and a part of the Oklahoma City metropolitan area in the central part of the state. As of the 2010 census, the population was 81,405, making it the sixth largest city in the state of Oklahoma. The city limits are located on the northern border of Oklahoma City. Three major highways connect Edmond to downtown Oklahoma City: U.S. Route 77 (the Broadway Extension), which runs through the center of Edmond, and Interstate 35, which runs along the eastern side. Public transportation is provided by Citylink Edmond bus service. Additional...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$86,433 to $111,634
Edmond, Oklahoma area prices
were up 1.2% 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