Claims Manager

We are seeking an experienced and detail-oriented Claims Manager to oversee our medical claims processing department. The Claims Manager will be responsible for managing the entire claims lifecycle, ensuring compliance with all relevant regulations, and optimizing the efficiency of our claims operations. This role requires strong leadership, analytical skills, and a deep understanding of healthcare insurance and billing.

Responsibilities:

• Supervise and lead a team of claims processors and specialists.
• Develop and implement claims processing policies and procedures.
• Monitor claims performance metrics and identify areas for improvement.
• Ensure accurate and timely adjudication of medical claims.
• Manage relationships with insurance providers and regulatory agencies.
• Handle complex claim disputes and appeals.
• Stay up-to-date with changes in healthcare regulations and coding practices.