Claims Assistant Manager - Stockton, CA

Insurance Relief

7d • $55,000 - $65,000

About The Position

Step into a Claims Assistant Manager role with a fast-paced, industry-leading TPA. We're looking for a motivated leader to drive systemic improvement, optimize the end-to-end claims lifecycle, and make a genuine impact. If you thrive on collaboration and are ready for unmatched growth, we want you on our team.
Reward and Growth Opportunities:
A base annual salary ranging from $55,000 to $65,000, commensurate with your experience
Secure your long-term financial health with a 401(k) plan
A full benefits package including medical, dental, and vision coverage
Paid time off and paid holidays

Requirements

• 3+ of Medical & Health Claims Experience: A clear understanding of the life cycle of medical & health claims is required
• 3+ years of Management/Supervisory Experience: Supporting daily operations, handling customer issues, acting as a key liaison for manager, ensuring policy compliance
• Data-Driven Strategy: The capability to review complex data and translate it into high-impact, actionable recommendations
• Compliance Excellence: Expert knowledge of medical & health claims, Medicare coding, and regulatory compliance, positioning you as a trusted authority
• Essential Software Skills: Proficiency in Microsoft Office (Excel, Word, PowerPoint) and key database systems required to manage and report on claims effectively

Responsibilities

• Assist in implementing proactive, strategic action plans to maximize work flows and control of work procedures.
• Take ownership in the end-to-end assessment of complex claims, accurately determining status and driving swift resolution.
• Generate and deliver comprehensive, insightful reports to management, ensuring clear communication of performance metrics and compliance adherence.
• Lead the prompt and accurate review and processing of claims to maintain high standards of efficiency and service delivery.
• Cultivate and maintain robust, trust-based relationships with all clients, providers, and co-workers.
• Expertly review, negotiate, and resolve disputes, safeguarding client interests and optimizing claims outcomes.

Benefits

• A base annual salary ranging from $55,000 to $65,000, commensurate with your experience
• Secure your long-term financial health with a 401(k) plan
• A full benefits package including medical, dental, and vision coverage
• Paid time off and paid holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed
• Number of Employees: 1-10 employees