Claims Processing Director Salary
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Claims Processing Director salaries, Claims Processing Director benefits packages, Claims Processing Director bonuses, Claims Processing Director job descriptions, Claims Processing Director statistics and Claims Processing Director job openings. Please select a specific Claims Processing Director job from the list below for additional information or search Claims Processing Director salaries.
Claims Processing Director's Annual Base Salary
Job Title | Salary | Location | Date Updated |
Claims Processing Director - Healthcare | $158,540 | United States | |
Claims Quality Audit Director | $159,155 | United States | |
Claims Examiner I | $53,225 | United States | |
Claims Examiner II | $67,175 | United States | |
Claims Examiner III | $83,390 | United States | |
Claims Examiner IV | $96,735 | United States | |
Claims Processing Manager - Healthcare | $99,213 | United States | |
Claims Processing Supervisor - Healthcare | $70,886 | United States | |
Claims Adjuster I | $54,491 | United States | |
Claims Adjuster III | $86,253 | United States |
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Plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Requires a bachelor's degree. Typically reports to top management. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. View Claims Processing Director - Healthcare SalaryAlternate Job Titles:Medical Claims Operations Director, Claims Processing Director - Healthcare
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Directs and oversees the operations of the claims quality audit department to follow the audit policies, procedures and regulation. Provides professional knowledge and guidance on technical or procedural problems. Creates claims audit policies and procedures. May recommend changes in claims processing procedures. Typically Requires a bachelor's degree. Typically reports to top management. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. View Claims Quality Audit Director SalaryAlternate Job Titles:Claims Quality and Compliance Audit Director, Claims Quality Audit Director
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Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Work is closely managed. Works on projects/matters of limited complexity in a support role. Typically requires 0-2 years of related experience. View Claims Examiner I SalaryAlternate Job Titles:Claim Review and Settlement Examiner I, Insurance Claims Examiner I, Claims Examiner I
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Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2 -4 years of related experience. View Claims Examiner II SalaryAlternate Job Titles:Claim Review and Settlement Examiner II, Insurance Claims Examiner II, Claims Examiner II
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Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Typically requires 4 -7 years of related experience. View Claims Examiner III SalaryAlternate Job Titles:Claim Review and Settlement Examiner III, Insurance Claims Examiner III, Claims Examiner III
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Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Work is highly independent. May assume a team lead role for the work group. A specialist on complex technical and business matters. Typically requires 7+ years of related experience. View Claims Examiner IV SalaryAlternate Job Titles:Claim Review and Settlement Examiner IV, Insurance Claims Examiner IV, Claims Examiner IV
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Manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Typically requires a bachelor's degree. Typically reports to a head of a unit/department. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. View Claims Processing Manager - Healthcare SalaryAlternate Job Titles:Medical Claims Operations Manager, Claims Processing Manager - HealthcareCategory : Insurance
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Supervises the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures the accurate and timely disposition of claims and resolves matters according to coverage amounts and company procedures. Provides guidance to staff on more complex or high-value claims. Reviews and resolves escalated issues. Requires a high school diploma. Typically reports to a manager. Supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. View Claims Processing Supervisor - Healthcare SalaryAlternate Job Titles:Medical Claims Operations Supervisor, Claims Processing Supervisor - HealthcareCategory : Insurance
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Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage. Corresponds with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested insurance claims. Makes recommendations for settlement of routine property/casualty claims based on coverage, appraisal, and verifiable damage. Prepares reports of investigation findings. May conduct field evaluations to inspect and document damage or loss. Typically requires an associate degree. Typically reports to a supervisor or manager. Works on projects/matters of limited complexity in a support role. Work is closely managed. Typically requires 0-2 years of related experience. View Claims Adjuster I SalaryAlternate Job Titles:Automotive Claims Adjuster I, Claims Investigator I, Insurance Claims Adjuster, Insurance Claims Adjuster, Entry, Property/Casualty Claims Adjuster I, Claims Adjuster ICategories : Accounting , Administrative, Support, and Clerical , Entry Level , Financial Services , Insurance
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Denies, settles, or authorizes payments to more complex property/casualty claims based on coverage, appraisal, and verifiable damage. Examines claim forms and other records to determine coverage. Responsible for corresponding with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested. Conducts field investigations to inspect and document damage or loss. Prepares report of findings of an investigation. May require a bachelor's degree. Typically reports to a manager or head of a unit/department. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. Typically requires 4 to 7 years of related experience. View Claims Adjuster III SalaryAlternate Job Titles:Automotive Claims Adjuster III, Claims Investigator III, Insurance Claims Adjuster, Senior, Insurance Claims Senior Adjuster, Property/Casualty Claims Adjuster III, Claims Adjuster IIICategory : Insurance