Manager, Claims
Gainwell Technologies
full-time
Posted on:
Location Type: Remote
Location: Remote • Kansas • 🇺🇸 United States
Visit company websiteSalary
💰 $79,000 - $112,900 per year
Job Level
SeniorLead
About the role
- Plans, develops and manages administration of routine to moderately complex claims programs to ensure proper claims policies, practice and procedures are adhered to.
- Manages and approves small to medium billing statements, claims and associated administrative activities to ensure compliance with law, regulation, policies agreements, and contractual arrangements.
- Manages, as necessary, intercedes with third parties in unusual situations involving payment or adjustment of charges on accounts; consults with departments concerning services with affect collection of charges.
- Participates in developing and implementing policies and procedures consistent with those of the organization to ensure efficient and safe operations of the unit.
- Selects and hires employees. Trains and evaluates employees to enhance their performance, development, and work product.
- Addresses performance issues and makes recommendations for personnel actions. Motivates and rewards employees including providing salary increases, bonuses, and promotions within allocated budgets and company guidelines.
Requirements
- Bachelor's degree in business administration, insurance or related field, preferred.
- Nine (9) or more years of claims experience required.
- Three (3) or more years of supervisory experience required.
- Experience working with healthcare proper claims handling, policies, procedures, applicable laws, regulations and practices regarding the insurance industry required.
- Experience working with insurance and/or medical terminology required.
Benefits
- Health (medical, dental, vision) benefits start on day 1 of employment.
- Company match 401K and other benefits available within months of starting.
- New employees are eligible to take advantage of flexible vacation policy after ninety (90) calendar days of employment.
- Company provided computer for work use after being hired.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementbilling statements managementpolicy developmentprocedure implementationemployee trainingperformance evaluationpersonnel managementcompliance managementinsurance terminologyhealthcare claims handling
Soft skills
leadershipcommunicationorganizational skillsproblem-solvingmotivational skills
Certifications
Bachelor's degree in business administrationBachelor's degree in insurance