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Claims Manager

San Antonio, TX

Position Summary:

Under general supervision of the Claims Director, the Claims Manager will oversee the daily operations and performance of the Claims Department. This position directs staff in achieving the departmental and company goals and ensures claims productivity goals are met.

Responsibilities:

Will spend roughly 5% of day processing claims per contract or standard processing guidelines
Maintains prompt turnaround time on all claims and handle priority claims within 24 hours
Provides guidance to the Claims team and manages the day-to-day operational activities
Utilizes analytical thinking skills, leadership ability, and business knowledge to help coordinate and lead a department of associates
Leads large scale implementation of projects and processes to help solve complex organizational problems
Effectively plans staff responsibilities and manage activities, utilizing staff resources to meet departmental goals in accordance with established business goals
Schedules and directs work; addresses complaints and resolve problems; monitors monthly production
Provides ongoing coaching and feedback to enhance the contributions, competencies, and performance of associates
Manages team daily attendance and overtime; coordinates time off requests and updates time sheets
Analyzes and reports claims processing trends on schedule as defined
Selects, develops, and manages staff to ensure appropriate staffing levels to ensure delivery of timely high-quality service form the claims department
Processes and resolves service issues to ensure superior service to our clients
Continually work to improve policy and procedures, efficiency, and customer service for internal and external clients
Other duties as assigned

Qualifications:

Minimum five (5) years management experience in claims field.
Bachelor’s degree in Accounting/Finance/Business or related field.
Ability to manage effectively in a fast-paced, results-oriented environment.
Experience with managing quality metrics and monitor feedback.
Excellent verbal and written communication skills.

Desired Qualifications:

ICD 10 Certification.
Progressive claims experience over 5 years.
More than 5 years management experience.
Project management experience.
Medical, Medicaid and/or government health plan experience.
Health insurance experience is preferred.
Regulatory experience.

What We Bring To the Table

comprehensive benefit packages

We recognize that talented people are attracted to companies that provide competitive pay, comprehensive benefit packages, and outstanding advancement opportunities. For this reason, we offer a comprehensive benefits plan which includes the following:

Competitive overall compensation package
Career enhancement and growth opportunities
401(k) match up to 50% contribution
Medical, dental, and vision coverage
Life/AD&D insurance
Accident/critical illness insurance
FSA and HSA accounts
Competitive paid time off
Professional development/tuition funds
Continuing education and career certification
Company funded Wellness Account
Employee engagement activities
Service recognition awards
Discount fitness memberships
Work/life resources

How to apply

Please email resume, as an attachment, with cover letter, and salary requirements to: [email protected]

We are an equal opportunity employer.

It is FCE Benefit’s policy to provide equal opportunity employment for all qualified applicants and employees. FCE does not unlawfully discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origin, ancestry, age, physical or mental disability, legally protected medical condition, family care status, veteran status, marital status, sexual orientation, or any other basis protected by state or federal law or local ordinance. This applies to all areas of employment including recruitment, hiring, training, promotion, compensation, benefits, transfer, and social and recreational programs.

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