Claims Assistant Manager

DELTA HEALTH SYSTEMS MCC•Stockton, CA

14d•$25 - $27•Remote

About The Position

The Claims Assistant Manager assists with supervising staff, including training, planning, and directing work. The role responds to staff and internal and external customer inquiries, researches and responds to customer calls, manages assigned tasks and queues, and ensures inventory is handled within department guidelines. It also manages internal emails, tracks inventory, and collaborates with staff to support timely responses. The position works with the reporting manager to meet turnaround times, quality standards, and company goals. It trends assignment errors, identifies staff training needs, collaborates with quality assurance on unit module updates, and assists with delivering materials, training, and communications at staff meetings. The role coordinates workflow and work procedures, guides subordinates on general claims and escalated issues, and communicates with clients, providers, and internal and external areas. It requires adherence to company and department policies and procedures and an understanding of department timeliness guidelines and expected turnaround times. Occasional travel to client locations is required. Other duties may be assigned.

Requirements

Two to four years of management and claims experience.
Computer literacy and proficiency with spreadsheet and word processing applications.
Excellent written and verbal communication skills.
Excellent leadership and interpersonal skills, including the ability to establish confidence and rapport and foster cooperative relationships with clients, providers, and coworkers.
Understanding of self-funded payer claims policies and Federal, State, and other regulations pertaining to health insurance claims payment, including TPL, COB, and coding and reimbursement methodologies.
Experience with automated claims systems.
Ability to maintain sound production operations.

Responsibilities

Assist with supervising staff, including training, planning, and directing work.
Respond to staff and internal and external customer inquiries and resolve issues.
Research and respond to customer calls requiring follow-up.
Manage assigned tasks and queues and ensure inventory is handled within department guidelines.
Manage internal emails, track inventory, and collaborate with staff to provide timely responses.
Collaborate with the reporting manager to meet turnaround times, quality standards, and company goals.
Track trends in assignment errors, identify staff training needs, and collaborate with quality assurance on unit module updates.
Attend staff meetings and assist with delivering materials, training, and communications.
Assist with coordinating workflow and controlling work procedures.
Guide subordinates on general claims and escalated issues.
Communicate directly with clients, providers, and internal and external areas.
Adhere to company and department policies and procedures and follow department timeliness and turnaround guidelines.
Travel occasionally to client locations.
Perform other duties as assigned.