Claims Manager

Location: Remote

Compensation: Salary

Reviewed: Thu, Dec 18, 2025

This job expires in: 25 days

Job Category: Insurance

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A company is looking for a Manager - Claims.

Key Responsibilities

Oversee quality and performance metrics of the claims processing team
Manage claims inventory to ensure timely processing and adherence to SLAs
Drive continuous improvement initiatives for claims quality and operational efficiency

Required Qualifications

Minimum of a Bachelor's degree or eight years of relevant claims processing experience, including four years in management
Full knowledge of DMHC, DHS, and CMS Regulations and Guidelines
Experience with contract law and Division Responsibility matrix interpretation
Comprehensive knowledge of AB1455 regulations

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