Health Insurance Operations Manager jobs in Boise, ID

Health Insurance Operations Manager manages and maintains daily health insurance operations in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Handles and settles complicated customer service issues which can not be resolved by lower level staff. Being a Health Insurance Operations Manager monitors performance of each service area. Requires a bachelor's degree or its equivalent. Additionally, Health Insurance Operations Manager typically reports to senior management or Director. The Health Insurance Operations 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. Extensive knowledge of department processes. To be a Health Insurance Operations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Department Manager - Claims and Customer Service
  • Best Life and Health Insurance Company
  • Meridian, ID FULL_TIME
  • Job description

    For more than 50 years, BEST Life and Health Insurance Company has been one of the nation’s leading insurance carriers specializing in ancillary employee benefit plans and individual ACA dental. We are currently seeking a Claims and Customer Service Manager to work full-time in our newly remodeled Corporate Offices located in Meridian, Idaho. The top applicant will have a minimum 3 years of customer service experience in a call center environment and at least 1 year in a supervisory role or lead position. If you meet any of these qualifications and want to work with the BEST company in the Boise, ID area, please send us your resume!

    SUMMARY:

    This position will ensure claims and customer service teams function with a high level of efficacy by supervising customer service and claims staff. Lead and manage the day-to-day customer service activities of providing services to members, healthcare providers, plan administrators and brokerage community using available systems and timely communication with staff in Idaho and California by performing the following duties.

    ESSENTIAL DUTIES AND RESPONSIBILITIES:

    · Provide excellent service to claims examiners in the day-to-day claims support functions and assists claims leadership with various duties, projects, training events and administrative functions as requested.

    · Give clear and concise direction to customer service representatives in day-to-day duties.

    · Facilitate training for new hires and existing staff.

    · Offer feedback to staff regarding performance of duties.

    · Suggest improvements to processes for the office and staff.

    · Manage and review new hire selections and performance review.

    · Handle escalated call situations.

    · Develops and implements clear procedures and processes related to Customer Service Department, Claims Department , office and other areas as needed

    · Ensures operation efficiency of office staff as needed; oversees communications and strategic planning related to office administration

    · Manages facility in coordination with other departments, including all aspects of office space/infrastructure for office building (eg., inside and outside appearance, moves, changes, etc..) vendor contracts and relationships

    · Manages office supplies

    · Weekly and monthly reporting

    · Other duties as assigned.

    EDUCATION/EXPERIENCE: Educational degrees must be from a US Department of Education accredited school.

    · High School Diploma AND

    · At least one (1) year experience in the medical/health/life insurance industry

    · At least three (3) years of customer service experience in a call center environment with minimum of 1 year supervisor or lead position.

    · Two (2) year college (Associate’s Degree).

    · Knowledge of HIPAA regulations preferred.

    · Spanish speaking a plus, but not required.

    Office Manager Qualifications/Skills:

    · Must have good communication skills and be able to work closely with our Executive team and employees.

    · Delegation

    · Staffing

    · Promoting process improvement

    · Reporting Skills

    · Comply with all safety policies, practices and procedures. Report all unsafe activities to supervisor and/or Human Resources.

    · Provide leadership to others through example and sharing of knowledge/skill.

    · Strong organization skills.

    · Ability to work under pressure in high volume area, and meet strict deadlines.

    · Ability to work independently with great sense of urgency.

    Benefits of working with us include:

    • 11 Company Paid Holidays
    • Competitive Wages
    • Benefits: Medical, Dental, Vision and Life Insurance
    • Short Term & Long Term Disability Coverage at no cost to our employees
    • 120 hours of Paid Time Off
    • 401k Matching $$$

    Job Type: Full-time

    Pay: From $75,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Health insurance
    • Health savings account
    • Paid time off
    • Vision insurance

    Physical setting:

    • Call center
    • Office

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Ability to commute/relocate:

    • Meridian, ID 83642: Reliably commute or willing to relocate with an employer-provided relocation package (Required)

    Experience:

    • Office management: 2 years (Preferred)
    • Customer service: 1 year (Preferred)

    Work Location: In person

  • 20 Days Ago

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Group Health Sales Executive - ID
  • Allstate Insurance
  • Boise, ID FULL_TIME
  • The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now ...
  • 18 Days Ago

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Director of Operations Home Health
  • Enhabit Home Health & Hospice
  • Fruitland, ID OTHER
  • Overview Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based ...
  • 25 Days Ago

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Director of Operations Home Health
  • Enhabit Home Health & Hospice
  • Baker, OR OTHER
  • Overview Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based ...
  • 1 Month Ago

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Account Manager - Employee Benefits
  • Brown & Brown Insurance
  • Meridian, ID FULL_TIME
  • The Employee Benefits Account Manager is responsible for maintaining in force block of business which includes renewals and ongoing service throughout the year. WHAT YOU’LL DO: Review and coordinate a...
  • 1 Day Ago

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Account Manager, Employee Benefits
  • Brown and Brown Insurance
  • Meridian, ID FULL_TIME
  • The Employee Benefits Account Manager is responsible for maintaining in force block of business which includes renewals and ongoing service throughout the year. WHAT YOU’LL DO: Review and coordinate a...
  • 7 Days Ago

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0 Health Insurance Operations Manager jobs found in Boise, ID area

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Postal Mail Processor-No experience required
  • The Postal Service
  • Boise, ID
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government rel...
  • 3/28/2024 12:00:00 AM

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staff - Registered Nurse (RN) - Clinical Support Specialist - $35-55 per hour
  • St. Luke's Health System
  • Boise, ID
  • Job Description St. Luke's Health System is seeking a Registered Nurse (RN) Clinical Support Specialist for a nursing jo...
  • 3/28/2024 12:00:00 AM

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staff - Registered Nurse (RN) - OR Circulate - $35-55 per hour
  • St. Luke's Health System
  • Boise, ID
  • Job Description St. Luke's Health System is seeking a Registered Nurse (RN) OR Circulate for a nursing job in Boise, Ida...
  • 3/28/2024 12:00:00 AM

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Postal Clerk
  • The Postal Service
  • Boise, ID
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government rel...
  • 3/28/2024 12:00:00 AM

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Underwriting Trainee
  • Berkley
  • Meridian, ID
  • Company Details: Berkley North Pacific is a regional insurance company that offers niche products and specialized covera...
  • 3/27/2024 12:00:00 AM

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Property & Casualty Licensed Insurance Rep (Remote) – (English or Bilingual Spanish)
  • Concentrix
  • Boise, ID
  • Job Title: Property & Casualty Licensed Insurance Rep (Remote) (English or Bilingual Spanish) Job Description ****Must h...
  • 3/25/2024 12:00:00 AM

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Licensed Property & Casualty Insurance Agent (Remote) – (English or Bilingual Spanish)
  • Concentrix
  • Boise, ID
  • Job Title: Licensed Property & Casualty Insurance Agent (Remote) (English or Bilingual Spanish) Job Description ****Must...
  • 3/25/2024 12:00:00 AM

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Director, Underwriting - Remote
  • Careerbuilder
  • Boise, ID
  • Prime Therapeutics Director, Underwriting - Remote Boise , Idaho Apply Now Our work matters. We help people get the medi...
  • 3/24/2024 12:00:00 AM

Boise (/ˈbɔɪsi/ (listen)) is the capital and most populous city of the U.S. state of Idaho, and is the county seat of Ada County. Located on the Boise River in southwestern Idaho, the population of Boise at the 2010 Census was 205,671, the 99th largest in the United States. Its estimated population in 2016 was 223,154. Boise is in southwestern Idaho, about 41 miles (66 km) east of the Oregon border, and 110 miles (177 km) north of the Nevada border. The downtown area's elevation is 2,704 feet (824 m) above sea level. Most of the metropolitan area lies on a broad, flat plain, descending to the ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Manager jobs
$101,238 to $137,635
Boise, Idaho area prices
were up 2.5% from a year ago

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