Manager, Claims

Location: Tempe, AZ
Position Purpose: Manage the day to day operations of the assigned Claims Department to accurately and timely process members’ medical claims.
 
  • Resolve processing/system issues within assigned department.
  • Prioritize work volumes on a daily basis.
  • Oversee status of production in assigned department to ensure goals are being met.
  • Analyze impact of new implementations on assigned department and reallocate staff duties as necessary.
  • Assist in development of annual budget for Claims Department.
  • Drives change initiatives to address future-oriented business needs.
  • Identifies process and infrastructures needed to support change and considers broad range of internal/external factors when making decisions.

Qualifications:
Education/Experience: Bachelor’s degree in related field or equivalent experience. 3+ years experience in a claims processing role, preferably in a managed care environment. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
April A. Estes
Senior Recruiter
720-439-2609 Direct
april@proenlist.com 
www.proenlist.com 
www.medenlist.com 

www.linkedin.com/in/aprilaestes
 
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