Claims Manager
Claims Manager
Posted on :
27-06-2021
Employer Active
1 Vacancy
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Job Description
Req ID : 646215
- Design and implement various policies and procedures for claims.
- Provide services to all business requirements and ensure optimal handling of all claims and investigate all issues and provide training for all business units.
- Evaluate all new claims and administer all data integrity data and manage communication to safety department and monitor all claims exceeding $5000 and ensure timely closure.
- Evaluate all business units associate claims.
- Provide training to juniors to manage all outstanding claims and design an efficient duty program and coordinate with HR team to facilitate same.
- Perform regular quarterly audits on all local TPA offices.
- Monitor effectiveness of all programs and provide support to all open claim file reviews and manage all payment cycle to ensure compliance to all contract requirements.
- Design and maintain panel of investigators to use all TPA and prepare reports for monthly chargeback for all business units.
- Analyze all claims to ensure optimal quality and prepare reports for various business units and monitor all chargeback expenses and provide report to all clients and management.
- Perform investigation on all reserve increases and perform regular surveillance of all claim issues and maintain efficient location code listing for TPAs.
- Provide all claim kits and auto ID card to various business units and recommend improvements in processes to increase proficiency and supervise effective resolution of all claim inquiries.
- Schedule all internal and external audits on all claims issues and supervise processing of all billing issues.
- Oversee all electronic claims processes and evaluate all self insurance applications and prepare claims reports and evaluate all actuarial.
- Analyze all claims and identify all risks and ensure processing of all claims as per company policy.
- Forecast all staffing requirements and identify and resolve all issues effectively and schedule all employee attendance.
Employment Type
Full Time
Company Industry
Key Skills
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