Senior Claims Processing Manager (Remote)

Allied Benefit Systems; Chicago (IL); On-site; USD 70,000 - 85,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Paid time off

Tuition reimbursement

EAP

Technology stipend

Job summary

Allied Benefit Systems is seeking a Manager of Claims Processing to lead teams ensuring claims are processed per SLAs and plan documents. You will manage claim inventories and drive cross-functional coordination in a fast-paced environment, aligning strategies with company goals and regulatory standards.

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

Qualifications

• Minimum of 5 years of medical claims analysis and adjudication experience (including dental and vision claims) required.
• Minimum of years’ experience at a supervisor level with demonstrated leadership competencies.
• Strong understanding of claims management processes and related systems.

Responsibilities

• Monitor inventory, productivity, and quality reports for all books of business to ensure timely and accurate claims handling.
• Lead initiatives to reduce inventory through data-driven analysis and forecasting improvements.
• Oversee networks, products, and client performance with focus on service excellence and audit compliance.
• Provide support for new clients and products across books of business.
• Collaborate with stakeholders to resolve escalated client issues and streamline workflows.

Skills

Medical claims analysis

Supervisory leadership

Analytical thinking

Communication skills

Time management

Problem solving

HIPAA compliance

Education

Bachelor's degree or equivalent

Tools

Claims Management systems

CPT/HCPCS/ICD-10 knowledge

Job description

Allied Benefit Systems is seeking a Manager of Claims Processing to lead teams ensuring claims are processed per SLAs and plan documents. You will manage claim inventories and drive cross-functional coordination in a fast-paced environment, aligning strategies with company goals and regulatory standards.

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