Claims Processing Manager jobs in South Dakota

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 Process Optimization Manager
  • Safety National
  • Date, SD FULL_TIME
  • Stop searching. Start growing. It’s time to build a meaningful career where you can grow, your ideas can thrive, and you are recognized and valued. Join a team committed to your excellence, and apply to Safety National today!

    Ready for a rewarding career? Follow this link to view all of our available careers and apply: https://www.safetynational.com/careers-page/

    This opportunity is in the Claims Department.

    Our Claims department oversees both high-exposure workers’ compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess carrier, the catastrophic claims we handle keep our group challenged, but the uniqueness provides plenty of growth opportunities.

    Role Description:

    In the role of Claims Process Optimization Manager you will be responsible for optimizing Liability claim processes focused on improving operational efficiencies, quality and service by analyzing existing workflows, identifying areas of improvement, establishing role clarity and implementing changes through collaborative work and within a defined decision-making process.

    Your day-to-day responsibilities as a Claims Process Optimization Manager will include:

    • Proactively identifying opportunities to remove obstacles and to improve operational effectiveness through efficiencies, member experiences and processes
    • Monitoring and measuring the progress of the team against the tactical plan for process efficiency and compliance
    • Evaluating current claim systems, assisting with enhancements and exploring the need for new systems
    • Coordinating best practices, drafting of standards and process improvement initiatives
    • Building an enhanced Quality Program for Liability Claims inclusive of Third Party Administrator (TPA) Performance
    • Meeting established service levels and recommend additional metrics to measure performance and efficiency
    • Identifying risks associated with business activities and ensuring results are measured, monitored and controlled

    The ideal candidate is someone who has:

    • The ability to streamline processes, coordinate across different departments and collaborate with cross-functional teams and subject matter experts throughout the Company
    • Excellent interpersonal skills to build quality relationships
    • Ability to effectuate change by working with and gaining input from stakeholders
    • Advanced level of analytical skills, experience using and interpreting data to communicate results

    Qualifications:

    Education:

    • Bachelor’s degree from accredited college or university required

    Required:

    • 10 years’ experience with Liability Claim Handling, Operations and Quality Oversight
    • Candidate must be a motivated, self-starter with the ability to work independently
    • Strong written and oral communication skills
    • Efficient, analytical, thorough, observant and detail-oriented
    • Advanced skills in general Windows based technology systems, including Microsoft Office products

    Preferred:

    • 5 years’ leadership experience within Liability Claims Operations preferred

    If this role describes you, apply today!

    Safety National is a leading specialty insurance and reinsurance provider. Our culture is built upon relationships, which allow us to demonstrate our expertise gained through our rich 80-year history. As a wholly-owned subsidiary of Tokio Marine, Inc., we appreciate the benefits and support provided by our affiliation with one of the top 10 insurance companies in the world.

    A Benefits Structure That Puts Employees First

    Safety National’s approach to benefits reaches far beyond competitive fixed compensation. Instead, we construct a total rewards benefits package for each valued member of our team. Highlights include incentive award bonuses, an annual holiday bonus, and profit-sharing contributions. Other exceptional benefits include generous healthcare coverage, a 401(k) match, enhanced paid caregiver leave, and family-forming benefits for adoption, surrogacy, and fertility. We also promote balance by offering a hybrid working environment and several employee appreciation events throughout the year. Apply today to learn more about our total rewards approach.

  • 10 Days Ago

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Customer Support Representative - Technical
  • Quality Claims Solutions
  • Sioux Falls, SD FULL_TIME
  • Responsible for analyzing, troubleshooting and evaluating technology issues. This role may support internal clients, helping to keep employees productive, or external customers of a company, helping t...
  • 14 Days Ago

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Operator Packaging Technician
  • Great Plains Processing
  • Beresford, SD FULL_TIME
  • This position is located in Yankton, SD. The Plant Operators oversee the entire production process of a given facility. They are responsible for the product quality as well as the equipment within GPP...
  • 16 Days Ago

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Operator Packaging Technician
  • Great Plains Processing
  • Sioux Falls, SD FULL_TIME
  • This is position is located in Yankton, SD. The Plant Operators oversee the entire production process of a given facility. They are responsible for the product quality as well as the equipment within ...
  • 19 Days Ago

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Operator Packaging Technician
  • Great Plains Processing
  • Yankton, SD FULL_TIME
  • This is position is located in Yankton, SD. The Plant Operators oversee the entire production process of a given facility. They are responsible for the product quality as well as the equipment within ...
  • Just Posted

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Yankton, SD - Operator/Packaging Technician
  • Great Plains Processing
  • Yankton, SD FULL_TIME
  • The Plant Operators oversee the entire production process of a given facility. They are responsible for the product quality as well as the equipment within GPP. Their goal is to ensure that the whole ...
  • 1 Day Ago

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Processing Manager
  • Rehrig Pacific Company
  • Buckeye, AZ
  • ***Hiring for Spring 2024 - May hire sooner to conduct training in our Los Angeles facility.***Here at Rehrig Pacific, w...
  • 4/24/2024 12:00:00 AM

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Processing Manager
  • Diageo Espana Sa
  • Plainfield, IL
  • Plainfield, Illinois, United States of America Our performance ambition is to be one of the best performing, most truste...
  • 4/24/2024 12:00:00 AM

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Processing Manager
  • Diageo
  • Plainfield, IL
  • Job Description : Title: Processing Manager Our performance ambition is to be one of the best performing, most trusted a...
  • 4/24/2024 12:00:00 AM

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Processing Manager
  • Unavailable
  • Saint Louis, MO
  • PENNYMAC Pennymac (NYSE: PFSI) is a specialty financial services firm with a comprehensive mortgage platform and integra...
  • 4/23/2024 12:00:00 AM

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Manager, Business Process Management - (REMOTE)
  • American Homes 4 Rent
  • Las Vegas, NV
  • Since 2012, we've grown to become one of the leading single-family rental companies and homebuilders in the country, rec...
  • 4/21/2024 12:00:00 AM

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Processing Manager
  • Chobani
  • New Berlin, NY
  • Summary We are seeking a dynamic and experienced Manufacturing leader to oversee and manage our dairy processing facilit...
  • 4/21/2024 12:00:00 AM

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Process Manager
  • Thermo Fisher Scientific
  • Grand Island, NY
  • Job Description As part of the Thermo Fisher Scientific team, you'll discover meaningful work that makes a positive impa...
  • 4/21/2024 12:00:00 AM

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Management Trainee - Processing
  • Mountaire
  • Lumber Bridge, NC
  • Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
  • 3/11/2024 12:00:00 AM

South Dakota (/- dəˈkoʊtə/ (listen)) is a U.S. state in the Midwestern region of the United States. It is named after the Lakota and Dakota Sioux Native American tribes, who compose a large portion of the population and historically dominated the territory. South Dakota is the seventeenth largest by area, but the fifth smallest by population and the 5th least densely populated of the 50 United States. As the southern part of the former Dakota Territory, South Dakota became a state on November 2, 1889, simultaneously with North Dakota. Pierre is the state capital and Sioux Falls, with a populat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$85,388 to $110,285

Claims Processing Manager in Topeka, KS
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Claims Processing Manager in Pittsburgh, PA
Depending on the employer’s needs, insurance claims and processing clerks may also be responsible for interviewing clients to obtain the information required on new insurance policy applications.
January 27, 2020
Claims Processing Manager in Medford, OR
Claims Manager Plus ingests a hospital’s daily claims file and runs it through a sophisticated rules engine to modify claims based on the hospital’s defined configurations, as well as parse out claims not meeting criteria for payment.
December 11, 2019