Claims Assistant Manager

Insurance Relief; California (MO); On-site; USD 55,000 - 65,000; Full time

Benefits offered by this job

401(k) plan

Medical, dental, and vision coverage

Paid time off and paid holidays

Job summary

A leading staffing firm in insurance is seeking a Claims Assistant Manager to oversee the claims lifecycle and drive improvements within a fast-paced TPA environment. This role involves managing a team, optimizing workflows, and cultivating key relationships while ensuring compliance. Candidates should have over 3 years of claims experience and managerial expertise, along with the skills to analyze data effectively. The position comes with a competitive salary and a comprehensive benefits package.

Qualifications

• 3+ years of experience in medical & health claims required.
• 3+ years of management experience supporting daily operations.
• Ability to review complex data for impactful recommendations.

Responsibilities

• Implement strategic action plans to maximize workflow.
• Assess complex claims and drive swift resolution.
• Deliver insightful reports to management on performance metrics.
• Review and process claims to maintain high standards.
• Build trust-based relationships with clients and providers.
• Negotiate and resolve disputes effectively.

Skills

Medical & Health Claims Experience

Management/Supervisory Experience

Data-Driven Strategy

Compliance Excellence

Microsoft Office Proficiency

Job description

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

What You Bring:

• 3+ years 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

Key Responsibilities:

• Assist in implementing proactive, strategic action plans to maximize workflow 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.

Apply Now!

Why Insurance Relief™?

As a businessperson in the insurance industry, it is an advantage to partner with a staffing expert and ally who understands your unique skills and needs. With vast experience in the insurance arena, Insurance Relief™ works with brokers, carriers, and third-party administrators to locate and place the best people for positions ranging from entry-level to senior management. We invest the time to truly understand what you want to accomplish and then do our best to find meaningful opportunities.

Insurance Relief™ provides ample opportunities for you to put your skills to work so if this position is not quite the fit for you please give us a call to hear about all of the other opportunities we have available.