Claims Assistant Manager

Hybrid • DHS Remote - Stockton, CA 95219

• Salary Range: $25.00 - $27.00 Hourly
• Position Type: Full Time
• Category: Management

• Assist with the supervision of staff specific but not limited to training, planning, and directing work.
• Responds to staff, internal and external customer inquiries, and provides resolution to issues accordingly.
• First point of contact for customer calls that require research and a response.
• Manages assigned tasks, queues, and ensures inventory is handled within department guidelines.
• Manages internal emails, tracks inventory, and collaboration with staff for timely responses within department guidelines.
• Collaborate with reporting manager to ensure turn-around times, quality standards and company goals are met.
• Trend errors for assignments, identify training needs for staff, collaborate with quality assurance on unit module updates.
• Attends staff meetings to assist with delivery of materials, trainings, and communication.
• Assists in the coordination of the work flow and control of work procedures.
• Provides guidance to subordinates regarding general claims and escalated issues.
• Communicates directly with clients, providers, and internal and external areas.
• Adherence to company and department policies and procedures.
• Understands the guidelines for timeliness and the expected turnaround time within the department.
• Must occasionally travel to client locations.
• Performs other duties as assigned.

Qualifications

Two to four years of management and claims experience. Must be computer literate w/proficiency in spreadsheet and word processing applications. Excellent written and verbal communication skills. Must have excellent leadership abilities and interpersonal skills; ability to establish confidence, rapport and foster cooperative relationships with clients, providers, and co-workers. Must understand self-funded payer claims policies as well as Federal, State and other regulations pertaining to health insurance claims payment including TPL, COB, and coding and reimbursement methodologies. Experience with automated claims systems; and ability to maintain sound production operations also required.

Supervision: This position reports directly to a Stockton Claims Manager, limited supervision with considerable responsibility for work quality and quantity