Claims Assistant Manager
About The Position
The Claims Assistant Manager assists with the supervision of staff, including training, planning, and directing work. The role responds to staff and internal and external customer inquiries, provides resolutions, and serves as the first point of contact for customer calls requiring research and a response. It manages assigned tasks, queues, inventory, and internal emails to ensure work is handled and responses are delivered within department guidelines. Working with the reporting manager, the Claims Assistant Manager helps ensure turnaround times, quality standards, and company goals are met. The role identifies assignment trends and staff training needs, collaborates with quality assurance on unit module updates, and assists with staff meetings, trainings, communication, workflow coordination, and work procedures. It provides guidance to subordinates on general claims and escalated issues and communicates with clients, providers, and internal and external areas. The position requires adherence to company and department policies and procedures, understanding departmental timeliness expectations, and occasional travel to client locations. 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, coding, and reimbursement methodologies.
- Experience with automated claims systems.
- Ability to maintain sound production operations.
Responsibilities
- Assist with staff supervision, including training, planning, and directing work.
- Respond to staff and internal and external customer inquiries and resolve issues.
- Research and respond to customer calls as the first point of contact.
- Manage assigned tasks, queues, and inventory within department guidelines.
- Manage internal emails and coordinate with staff to provide timely responses.
- Collaborate with the reporting manager to meet turnaround times, quality standards, and company goals.
- Trend 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 in coordinating workflow and controlling work procedures.
- Provide subordinates with guidance on general claims and escalated issues.
- Communicate with clients, providers, and internal and external areas.
- Follow company and department policies and procedures and departmental timeliness expectations.
- Occasionally travel to client locations.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
