Elevance Health
Director I Claims
Location : This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
Alternate locations may be considered. The
Director I Claims
is responsible for directing the auditing of claim payments. Provides guidance on the most complex claims. How you will make an impact: Develop strategies to improve claims efficiency. Develop short/long-term objectives and monitor procedures to ensure these are met by staff. Ensures area is staffed and trained. Familiarity of state and federal regulations. Hires, trains, coaches, counsels and evaluates performance of direct reports. Light travel may be required. Minimum Requirements: Requires a BA/BS and 7 years leadership experience; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: In depth knowledge of claim processes preferred. Experience in claim auditing preferred. Knowledge of claims systems (CIW and/or WGS) preferred. Understanding of insurance policies preferred. Strong leadership and team management skills to effectively lead and motivate a team preferred. Excellent analytical and problem-solving skills to evaluate claims and develop improvement strategies preferred. Strong organizational and multitasking abilities to manage multiple projects and deadlines preferred. Strong written and oral communication skills, problem solving skills, attention to detail and well organized preferred. Knowledge of stop loss product is preferred. For candidates working in person or virtually in the below location(s), the salary range for this specific position is $129,096 to $193,644. Locations: Minnesota. Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
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Alternate locations may be considered. The
Director I Claims
is responsible for directing the auditing of claim payments. Provides guidance on the most complex claims. How you will make an impact: Develop strategies to improve claims efficiency. Develop short/long-term objectives and monitor procedures to ensure these are met by staff. Ensures area is staffed and trained. Familiarity of state and federal regulations. Hires, trains, coaches, counsels and evaluates performance of direct reports. Light travel may be required. Minimum Requirements: Requires a BA/BS and 7 years leadership experience; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: In depth knowledge of claim processes preferred. Experience in claim auditing preferred. Knowledge of claims systems (CIW and/or WGS) preferred. Understanding of insurance policies preferred. Strong leadership and team management skills to effectively lead and motivate a team preferred. Excellent analytical and problem-solving skills to evaluate claims and develop improvement strategies preferred. Strong organizational and multitasking abilities to manage multiple projects and deadlines preferred. Strong written and oral communication skills, problem solving skills, attention to detail and well organized preferred. Knowledge of stop loss product is preferred. For candidates working in person or virtually in the below location(s), the salary range for this specific position is $129,096 to $193,644. Locations: Minnesota. Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
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