Claims Manager

United States

Eve Crane & Associates

Type: Full Time

Eve Crane & Associates Inc.

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				Location: Virginia, Norfolk / Virginia Beach
Relocation Assistance: YES

Our Client is hiring a dynamic and versatile leader for the role of Claims Manager at our Virginia Operations Headquarters. The ideal candidate will possess experience in leading a group of multi-level claims and operations individuals as well as a passion for managing all areas pertaining to the complexities of claims in a goals-oriented manner. LTSS experience is highly preferred. 
 
*Job Summary 
Claims Manager is responsible for sustaining and developing departmental policies and procedures, providing oversight to staff responsible for claims processing activities, and ensuring that the organizations service, quality, productivity, and financial standards or goals are achieved. Oversee high dollar, complex claims auditing, monitor claims interest, perform detailed claims analyses and compose correspondence and/or detailed reports. Monitor and oversee direct reports to include Team Coordinators and employees. Assist with internal and external audits by thoroughly analyzing all errors and grievances. Create new claims policies or make recommendations to existing policies in the Claims P&P
Required Education 
Bachelor's Level Degree
Experience 
*Required: Related - 3 years

*Other

*3 years of health plans claims disbursements required.

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Company is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
			
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