Elevance Health
Overview
Director I Claims
is responsible for directing the auditing of claim payments and provides guidance on the most complex claims. Location and Work Arrangement
Location : Minnesota. 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. Please note that per policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Light travel may be required. Responsibilities
Develop strategies to improve claims efficiency. Develop short/long-term objectives and monitor procedures to ensure these are met by staff. Ensure area is staffed and trained. Familiarity with state and federal regulations. Hires, trains, coaches, counsels and evaluates performance of direct reports. 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. Compensation and Benefits
For candidates working in person or virtually in Minnesota, the salary range for this specific position is
$129,096 to $193,644 . The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. Elevance Health offers comprehensive benefits including incentive and recognition programs, 401(k) contribution, stock purchase plan, health coverage and wellness programs, subject to eligibility requirements. The Company is committed to equal pay opportunities for equal work regardless of gender, race, or other protected categories. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of posting. This range may be modified in the future and actual compensation may vary based on location, experience, education and/or skill level. No amount is considered wages or compensation until earned and determinable. Any bonus, benefits, or other compensation are allocable to a particular employee and may be modified at the Company's discretion, consistent with the law. Additional Information
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. The health of our associates and communities is a top priority. Elevance Health may require vaccination for certain roles, in accordance with applicable laws. This is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration without regard to protected characteristics. Accommodation requests for the application process can be directed to elevancehealthjobssupport@elevancehealth.com. Qualified applicants with arrest or conviction records will be considered for employment in accordance with relevant federal, state, and local laws. We are a health company dedicated to improving lives and communities and are a Fortune 25 company focused on making healthcare simpler.
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Director I Claims
is responsible for directing the auditing of claim payments and provides guidance on the most complex claims. Location and Work Arrangement
Location : Minnesota. 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. Please note that per policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Light travel may be required. Responsibilities
Develop strategies to improve claims efficiency. Develop short/long-term objectives and monitor procedures to ensure these are met by staff. Ensure area is staffed and trained. Familiarity with state and federal regulations. Hires, trains, coaches, counsels and evaluates performance of direct reports. 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. Compensation and Benefits
For candidates working in person or virtually in Minnesota, the salary range for this specific position is
$129,096 to $193,644 . The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. Elevance Health offers comprehensive benefits including incentive and recognition programs, 401(k) contribution, stock purchase plan, health coverage and wellness programs, subject to eligibility requirements. The Company is committed to equal pay opportunities for equal work regardless of gender, race, or other protected categories. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of posting. This range may be modified in the future and actual compensation may vary based on location, experience, education and/or skill level. No amount is considered wages or compensation until earned and determinable. Any bonus, benefits, or other compensation are allocable to a particular employee and may be modified at the Company's discretion, consistent with the law. Additional Information
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. The health of our associates and communities is a top priority. Elevance Health may require vaccination for certain roles, in accordance with applicable laws. This is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration without regard to protected characteristics. Accommodation requests for the application process can be directed to elevancehealthjobssupport@elevancehealth.com. Qualified applicants with arrest or conviction records will be considered for employment in accordance with relevant federal, state, and local laws. We are a health company dedicated to improving lives and communities and are a Fortune 25 company focused on making healthcare simpler.
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