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Gallagher
Glendale, CA, United States
Introduction : Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of diverse minds, united by a relentless pursuit of excellence. As part of our team, you'll be the architect of protection, safeguarding businesses and empowering their ambitions. Together, we
Job Source: GallagherBerkshire Hathaway Specialty Insurance
Los Angeles, CA, United States
Job Description Job Description Who are we? A strong, trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI) provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers around the globe. Part of Berkshire Hathaway’s insurance operations, we bring our solut
Job Source: Berkshire Hathaway Specialty InsuranceARCADIS
Los Angeles, CA, United States
Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36,000 people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the world's most
Job Source: ARCADISARCADIS
Los Angeles, CA, United States
Arcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36,000 people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the world's most
Job Source: ARCADISalliant_commercial_realty_services
Los Angeles, CA, United States
With a history dating back to 1925, Alliant Insurance Services is one of the nation’s leading distributors of diversified insurance products and services. Operating through a national network of offices, Alliant provides property and casualty, workers’ compensation, employee benefits, surety, and financial products and services to more than 26,000
Job Source: alliant_commercial_realty_servicesConfidential
Los Angeles, CA, United States
Managing Director, Casualty Claims About the Company Prominent network of insurance & reinsurance firms Industry Insurance Type Public Company Founded 1930 Employees 1001-5000 Categories Auto Insurance Financial Services Insurance Atlanta Hip Hop Mixtapes Shoes Sneakers Carriers Business Classifications B2B About the Role The Company is seeking
Job Source: ConfidentialCNA Financial Corporation
Brea, CA, United States
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works closely with senio
Job Source: CNA Financial CorporationISTITUTO MARANGONI
Brea, CA, United States
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works closely with senior
Job Source: ISTITUTO MARANGONIMontebello, CA, United States
At AltaMed, we don’t just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It’s the calling of our lives and it compels us to keep moving forward.
Job Overview
The Director, Claims position has overall responsibility and accountability for all aspects of claims operations while effectively and efficiently delivering and enhancing the claims processing experience. This position is responsible for overseeing the daily claims, including timely and accurate processing of specialty claims for managed care members. The Director will leverage experience and integrate various components of cross-functional business decisions to continuously improve claims’ processes and procedures. This position oversees the claims inventory by setting, evaluating, and monitoring the claims inventory baseline and examiner productivity metrics to ensure the timely and accurate processing of claims in compliance with regulatory requirements and organizational expectations. This position will participate in various forums, company initiatives, and other internal/external workgroups to support Claims integrity. Directs all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports. Additional responsibilities include supervision and training of department staff, compliance with health plan and governmental regulations and standards, coordinating and overseeing health plan audits, and generations of management reports for fiscal and productivity analysis.
1. Bachelor’s degree or equivalent required.
2. Minimum of 8 years of experience in the areas of managed care Health Care Claims management required.
3. Minimum of 2 years of prior supervisory experience also required.
4. Must be highly collaborative and maintain a consultative style with ability to establish credibility quickly with all levels of management across multiple functional areas.
5. Must be able to present findings to various levels of management, across all organizations.
Benefits & Career Development
Medical, Dental and Vision insurance
403(b) Retirement savings plans with employer matching contributions
Flexible Spending Accounts
Commuter Flexible Spending
Paid Time Off & Holidays
Paid CME Days
Malpractice insurance and tail coverage
Tuition Reimbursement Program
Corporate Employee Discounts
Employee Referral Bonus Program
Pet Care Insurance
About Us Quality Care Without Exception
Bold decisions and innovative thinking have helped AltaMed become the nation’s largest network of community-based primary care facilities and senior care programs. We are Joint Commission accredited health system focused on preventative medicine and the elimination of health care disparities throughout Southern California.
At AltaMed, we empower over 4,000 employees in medicine, nursing, social work, dentistry, mental health, and health administration to work boldly – bringing their best ideas and greatest strengths to our facilities every day – and to live brilliantly, applying that same energy and purpose to their lives and communities outside.
Explore our opportunities throughout Los Angeles and Orange counties and take your career to the highest level.
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Email Alert for Claims Ops Director jobs in Montebello, CA, United States
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