|
|
|
|
| Employer Name: InsurCrossing |
SpiderID: 2226755 |
| Location: Phoenix, Arizona |
Date Posted: 5/16/2008 |
| Wage: |
Category: Insurance |
| Job Code: |
|
Job Description:
Manage Mass Adjudication, daily process and verification- Monitor Claims Analyst performance, productivity, accuracy, and compliance by measurement systems and benchmarking; reward and reprimand as necessary- Manage day-to-day workflow of Claims Analyst Team; manage paid time off (PTO) requests to ensure balanced work production within the team; verify time sheets- Serve as a mentor for questions regarding correct adjudication process, plan benefits, and company policies and procedures- Conduct personnel duties of the team in cooperation with the Director of Claims and the Human Resource Department, including applicant interviews, recommendations for hiring/terminations, employee evaluations, and employee training- Monitor and manage Stop Loss claims according to the line of business and carrier guidelines- Review claims related reports to ensure compliance with established standards and procedures- Identify, document, and report potential fraud, abuse, and misuse of medical resources- Support development of new business, policies, training, and desktop procedures- Assist the Health Plans with claims issuesSKILLS/EXPERIENCE- Must have skills in management and problem-solving, the ability to write correspondence, procedures and policies, schedules, and supporting documentation, the ability to use reason to define problems, collect data, establish fact, draw valid conclusions, and manage appropriate action plans, and the ability to establish and maintain constructive relationships with diverse management and employees- Must have advanced and meticulous organizational and coordination skills, and be able to handle multiple priorities- Must be able to successfully utilize Microsoft Office suite and common computer and office hardware.
For more information of this job and to Apply Online, please Click Here
For more Insurance Jobs please Click Here.
Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: - |
Company Type: Employer |
| Company: InsurCrossing |
|
|
|
| City: Pasadena |
|
| State: California |
|
| Zip: |
|
Web Site: http://www.insurcrossing.com
|
|
|
|
|
|
|