Kaiser Permanente Claims Processing Manager in Englewood, Colorado
Responsible for the operations of one or more claims processing units, including timely and proper adjudication of claims in accordance with contractual benefits. Responsible for providing leadership and direction to employees. Directs the processing of insurance claims to meet operation, financial, and service requirements. Develops and executes strategic and operational business plans for the departments. Coordinates department operations and modifications with other areas of the organization.
Essential Functions: - Works on issues of diverse scope. - Receives assignments as objectives and determines how to use resources to meet these goals and schedules. - Requires significant planning and direction setting to coordinate with other divisions or resources. - Recommends changes to policies and establishes procedures that affect the immediate function. - Monitors projects to ensure completion on schedule and within budget.
Qualifications: Basic Qualifications: Experience - Minimum three (3) years of lead or supervisory experience in a claims processing environment. - Experience in LMP environment managing large groups of employees in a collaborative work team environment required. Education - Bachelor's degree in business administration, OR four (4) years of experience in a directly related field. - High School Diploma or General Education Development (GED) required. License, Certification, Registration - N/A
Additional Requirements: - Requires full knowledge of claims processing and working knowledge of another functional area. - Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications: - Five (5) years ofmanagement experience. - Master's degree preferred.
COMPANY Kaiser PermanenteTITLE Claims Processing ManagerLOCATION Englewood, COREQNUMBER 589481
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.