Claims Manager

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Generate and analyze claims payment reports to identify issues.

• Conduct analysis, research, and implement corrections promptly to facilitate provider payments.

• Support the development and maintenance of claim processing procedures, ensuring claims staff comprehend and adhere to these protocols.

• Engage with the provider community to resolve billing concerns.

• Train and mentor team members on claims processing responsibilities to improve overall performance.

⛳️ Requirements

• Associate’s degree and three (3) years of experience in extensive claims filing and data reporting; OR Bachelor’s degree with at least one (1) year of relevant experience; OR an equivalent combination of education and experience.

• A valid driver’s license is required.

• Candidates must reside in North Carolina.

• Ability to travel within the designated area as necessary.

• An advanced degree is preferred.

• Supervisory experience overseeing two (2) or more employees is required.

• Experience in Physical Health claims is essential.

🏝️ Benefits

• Health Insurance with no premium for employee coverage

• Flexible Spending Accounts

• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year

• NC Local Government Retirement Pension (defined-benefit plan)

• 401k with 5% employer match and immediate vesting

• Public Service Loan Forgiveness (PSLF) qualifying employer

• Quarterly stipend for remote work supplies