Manager of Complex Claims

A company is looking for a Manager, Complex Claims to join their Claims Production team. Key Responsibilities Adjudicate highly complex claims ensuring timely and accurate processing Lead teams in reviewing specialized claims processing, including high-cost claims and third-party insurance Conduct detailed analysis and reporting on complex claims trends to senior leaders Required Qualifications Bachelor's degree or 4 years of relevant experience 4+ years of experience in leading and developing teams in a healthcare claims environment 3+ years of experience using data and metrics for problem-solving and root cause analysis

Apr 4, 2025 - 22:10

A company is looking for a Manager, Complex Claims to join their Claims Production team. Key Responsibilities Adjudicate highly complex claims ensuring timely and accurate processing Lead teams in reviewing specialized claims processing, including high-cost claims and third-party insurance Conduct detailed analysis and reporting on complex claims trends to senior leaders Required Qualifications Bachelor's degree or 4 years of relevant experience 4+ years of experience in leading and developing teams in a healthcare claims environment 3+ years of experience using data and metrics for problem-solving and root cause analysis