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Claims Adjustments Manager

Company: VirtualVocations
Location: Far Rockaway
Posted on: October 24, 2024

Job Description:

A company is looking for a Manager, Claims Adjustments & MCA to provide leadership and direction in the Claim Adjustment department.



Key Responsibilities

Manage staffing, scheduling, and training to meet service level agreements
Oversee claims adjustment automation and root cause identification for claim system issues
Collaborate with cross-functional teams to improve processes and implement automation advancements


Required Qualifications, Training, and Education

Bachelor's degree in business administration, healthcare, or a related field
Four years of healthcare claims or operations experience
Two years of previous leadership experience
FACETS Claims experience
Knowledge of regulatory reporting and compliance requirements for Medicaid and Medicare

Keywords: VirtualVocations, Hamilton , Claims Adjustments Manager, Executive , Far Rockaway, New Jersey

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