Current Openings at ALC Staffing Associates

Claims Manager
Location:
US-TX-Tyler
Compensation:
$62K - $87K / Year
Minimum Education:
Bachelors
Job Type:
Full Time
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Claims Manager
*IN DEPTH CLAIM KNOWLEDGE REQUIRED
*Medicaid/Medicare claims processing operations experience at an insurance company.
*2+ years management experience as a manager at an insurance company. *Claims inventory management experience at an insurance company.
Tyler, TX
Salary: $62K-$87K + 10% Bonus
Relocation Assistance Available

Job Description:

Manage the day to day operations of the assigned Claims Department to accurately and timely process membersí 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:

*Bachelorís 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.
*Medicaid/Medicare claims processing operations experience at an insurance company.
*2+ years management experience as a manager at an insurance company. *Claims inventory management experience at an insurance company. *Health Plan escalation point knowledge.
*Must know how to actually process a claim.
*IN DEPTH CLAIM KNOWLEDGE.

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.

Arthur L Crume
ALC Staffing Associates
509 N Vermilion
Ste. 540
Danville, IL 61832
Fax: 888-315-4340
Phone: 217-636-3930

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