Remote Claims Processing Manager

Allied Benefit Systems; Chicago (IL); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Tuition Reimbursement

Technology Stipend

Job summary

Allied Benefit Systems is seeking a Manager of Claims Processing to lead teams ensuring claims are processed in line with SLAs, plan documents, and regulatory standards. You will manage inventories, guide cross-functional coordination, and drive improvements to enhance member experience.

The role requires 5+ years in medical claims analysis with supervisory experience, strong analytical skills, and knowledge of CPT/HCPCS/ICD-10 coding and Claims Management systems.

Qualifications

• 5+ years of medical claims analysis and adjudication experience, including dental and vision.
• Experience at a supervisor level with leadership competencies.
• Understanding of Claims Management systems and platforms.
• Strong analytical and technical claims expertise across CPT/HCPCS/ICD-10, COB, and medical terminology.

Responsibilities

• Monitor inventory, productivity, and quality for all books of business to ensure timely, accurate processing.
• Lead initiatives to reduce inventory levels via data-driven analysis and forecasting improvements.
• Oversee networks, products, and client performance with focus on service excellence and audit requirements.
• Develop and implement strategies aligned with company goals and HIPAA/privacy requirements.
• Provide coaching, feedback, and performance growth opportunities to staff.

Skills

Claims analysis

Leadership

Communication

Time management

Data analysis

Coding knowledge

Education

Bachelor's degree

Tools

Claims Management systems

Job description

Allied Benefit Systems is seeking a Manager of Claims Processing to lead teams ensuring claims are processed in line with SLAs, plan documents, and regulatory standards. You will manage inventories, guide cross-functional coordination, and drive improvements to enhance member experience.

The role requires 5+ years in medical claims analysis with supervisory experience, strong analytical skills, and knowledge of CPT/HCPCS/ICD-10 coding and Claims Management systems.