Sentences with phrase «claims manager overseeing»

Stephen joins us from CNA Hardy where he was the Financial Lines Claims Manager overseeing a team dealing with a portfolio of D&O, FI, Crime, Professional Indemnity, Technology, Cyber and Construction claims.

Most recently at CNA Hardy, Stephen was the Financial Lines Claims Manager overseeing a team dealing with a portfolio of D&O, FI, Crime, Professional Indemnity, Technology, Cyber and Construction claims.

Not exact matches

Overseeing comprehensive administrative responsibilities as a Practice Manager with Blossom Health Family Practice, encompassing daily practice operations, business development, patient scheduling, medical records management, billing and insurance claims, A / R and A / P, and registration.

Job Description: An insurance manager is primarily responsible for managing a particular department, office or branch and its performance, the person is also required to oversee the performance of the companies funds, policies along with handling complex claims, over look claim investigations, review policies and procedures, maintain data and create and review reports.

Medical Billing Manager BRONX MEDICAL CENTER, Bronx, NY 6/2012 to Present • Lead medical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts receivables

Since the Claims Manager will be overseeing a team of employees, he or she needs to possess managerial knowledge.

AHMC Healthcare Inc., Alhambra • CA 2003 — 2006 Billing / Operations Manager Oversaw employee management within department and managed processes, re-billing of claims, debit, credit and adjusted claims according to contract / charges.

Professional Experience St. Mary's Home Care / Infinite Wellness / Concept's Family Care Net (Raleigh, NC) 01/2010 — Present Agency Manager & Billing Specialist • Manage and train team members in company policies, procedures, and industry best practices • Research, analyze and resubmit denied claims for adjudication in a timely and professional manner • Oversee the billing process including coding, keying, and submission of new billings • Communicate with clients on billing errors and corrective action plans

Professional Duties & Responsibilities Supervised administrative support team ensuring effective and efficient operations Trained new associates in daily operations, claim processing, and company policies Oversaw invoicing, branch claims, liability reports, and company checking account Investigated off site damage reports and provided claim process recommendations Analyzed processes and introduced plan to reduce claims and increase efficiency Directed and oversaw company special events from conception to implementation Managed calendars for Chief Operations Officer, General Manager, and sales team Provided excellent customer service ensuring client satisfaction and repeat business Maintained customer information database guaranteeing organized client information Opened new client accounts and upgraded existing services Handled marketing duties including advertisements in yellow pages Inventoried company office supplies and replenished as needed Served as first point of contact between company and clients Researched and purchased new multiline phone system for reception team Significant experience conducting sales and customer service in a retail Oversaw invoicing, branch claims, liability reports, and company checking account Investigated off site damage reports and provided claim process recommendations Analyzed processes and introduced plan to reduce claims and increase efficiency Directed and oversaw company special events from conception to implementation Managed calendars for Chief Operations Officer, General Manager, and sales team Provided excellent customer service ensuring client satisfaction and repeat business Maintained customer information database guaranteeing organized client information Opened new client accounts and upgraded existing services Handled marketing duties including advertisements in yellow pages Inventoried company office supplies and replenished as needed Served as first point of contact between company and clients Researched and purchased new multiline phone system for reception team Significant experience conducting sales and customer service in a retail oversaw company special events from conception to implementation Managed calendars for Chief Operations Officer, General Manager, and sales team Provided excellent customer service ensuring client satisfaction and repeat business Maintained customer information database guaranteeing organized client information Opened new client accounts and upgraded existing services Handled marketing duties including advertisements in yellow pages Inventoried company office supplies and replenished as needed Served as first point of contact between company and clients Researched and purchased new multiline phone system for reception team Significant experience conducting sales and customer service in a retail setting

Director of Human Resources / HR Consultant — Professional Duties & Responsibilities Oversee the planning, direction, and management of all HR - related activities including staff recruiting, candidate tracking, personnel screening and testing, and hiring processes in accordance with Affirmative Action and Equal Opportunity Employment regulations Support senior management to develop and maintain personnel policy and ensure compliance with all standards, authoring and implementing new policies and procedures as needed along with creating HR procedure manual Serve as lead analyst for compensation reviews, performance and pay - scale benchmarking, market studies, and salary structure decisions, also creating organizational / staff planning charts for all departments and all positions Create and deliver firm - wide staff new - hire orientation, training and development programs, and performance evaluations utilizing a competency - based appraisal system which leads to focused training and development programs based on common and individual areas of performance deficiency Manage all aspects of workers compensation and unemployment claims on behalf of employer, attending hearings and participating actively in all related meetings Hold responsibility for all benefit negotiations, administration, and plan reviews, promoting compliance with and effective execution of IRS / DOL regulations, ERISA, HIPPA, and all audit - related processes Implement and sustain safety programs while performing regular safety - policy trend analyses to identify critical issues, developing corrective action plans to ensure compliance with applicable safety, health, and environmental regulations including OSHA and other applicable laws Consult with management regarding employee - and labor - related issues to resolve conflicts in a professional manner, conducting grievance hearings and negotiation agreements with worker representatives within the provisions of any applicable contract Provide relevant guidance and administration to the development of human resources site on firm intranet, housing online - employment forms, manager resources, job postings, and HR - related forms and documents Develop valuable staff relationships to improve workplace morale as well as maintain positive business relationships with all related brokers and vendors

Professional Experience United Healthcare 05/2009 — Present Network Account Manager • Generated new business consistently exceeding company production goals • Managed company databases and staff ensuring timely completion of company projects • Oversaw claim resolution, provider performance, and provider appeals • Handled all lines of company products including Medicare, Medicaid, and commercial plans • Provided excellent customer service guaranteeing client satisfaction

Midwest Steel Blanking (Lombard, IL) 07/2004 — 08/2008 Director of Operations • Oversaw daily operations and management of 40 employees including 2 project managers • Served as an advisor to the President on all critical and strategic issues • Led presentations to banks, governmental agencies, potential investors, and large volume customers • Oversaw production, maintenance, quality control, and all other dealings with all outside vendors • Negotiated all insurance policies and contracts concerning account receivables and insurance related claims • Developed the ISO 9000 quality manual and OSHA safety awareness programs, training, and documentation • Trained future managers of the company in professional skills, managerial decision making, and business communications • Designed and implemented a new inventory control systems for managing raw - material and finished - goods • Ensured cost control limiting the direct expenses incurred and indirect impacts such as inefficiencies, downtime, and waste • Over a 3 year period, reduced the account receivables insurance premium from $ 55K to $ 13K / year • Renegotiated all other insurance contracts for better coverage and reduced premiums by 20 % • Reduced «outside parts manufacturing» cost by 50 % • Maintained the cost of all supplies at the 2004 levels • Instituted production reporting and operational data analyses for decision making • Reduced down time by 60 %, overall operation's cost by 4.5 %, and scrap generation by 3 % • Developed ISO 9001 quality manuals and handled external annual audits • Introduced safety procedures and training programs

Professional Experience Petroliance LLC -LRB-[Insert City, State]-RRB- 7/1996 — Present Credit & Collections Specialist • Oversee all accounts receivables including claims management, charge - backs, customer inquiries, and charge - offs as needed • Act accountable for all credit collections as well as for decisions related to credit approval and suspension • Apply customer remittances to corresponding accounts, while identifying and resolving all posting problems with related cash applications, issuing credit / debit memos regularly, and processing daily cash deposits • Lead overall firm direction with regards to accounts receivable administration and cash flow management, providing relevant guidance, feedback, and direction to finance department staff, management members, and other interested parties • Reduce outstanding receivables and minimize risk associated with marginal customers, consistently exceeding established collections goals while working within all related legal, firm, and industry policies and procedures • Utilize interpersonal skills to maintain quality client service, responding in a timely manner to all documentation requests • Assist credit manager with daily duties as needed