Claims Dept Manager: Lead & Optimize Healthcare Claims

AIDS Healthcare Foundation; Los Angeles (CA); On-site; USD 90,000 - 100,000; Full time

Job summary

AIDS Healthcare Foundation seeks a Claims Department Manager in Los Angeles. You will oversee the claims processing unit, lead a team of claims examiners, and ensure timely adjudication in line with regulatory and contractual obligations.

The role emphasizes improving efficiency, managing denials and appeals, and coordinating with internal and external stakeholders. The position requires 3–5 years of claims management experience, with a focus on collaboration, accuracy, and problem solving.

Qualifications

• 3–5 years of Claims Management experience preferred.

Responsibilities

• Lead and supervise a team of claims examiners and support staff.
• Ensure timely and accurate processing of provider claims per plan policies.
• Oversee denials, appeals, and audits to maintain regulatory compliance.
• Collaborate with IT and vendors to maintain claims system functionality.
• Generate reports on productivity, turnaround times, and denial trends.

Skills

Claims management

Job description

AIDS Healthcare Foundation seeks a Claims Department Manager in Los Angeles. You will oversee the claims processing unit, lead a team of claims examiners, and ensure timely adjudication in line with regulatory and contractual obligations.

The role emphasizes improving efficiency, managing denials and appeals, and coordinating with internal and external stakeholders. The position requires 3–5 years of claims management experience, with a focus on collaboration, accuracy, and problem solving.