Claims Manager

Job not on LinkedIn

November 13

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Logo of HJ Staffing

HJ Staffing

B2B • Recruitment • HR Tech

HJ Staffing is a premier staffing agency dedicated to providing tailored workforce solutions for businesses across various industries. With a focus on delivering exceptional human resources support, HJ Staffing connects leading companies with outstanding talent through temporary staffing, direct placement, and human resource consulting. The company serves clients in multiple states including Texas, Louisiana, Delaware, and California, asserting its commitment to a personalized approach and superior customer service in every client relationship.

11 - 50 employees

Founded 2016

🤝 B2B

🎯 Recruiter

👥 HR Tech

📋 Description

• Oversee claims processing and ensure CMS/state compliance. • Lead, train, and mentor claims team. • Conduct audits and implement process improvements. • Collaborate with provider relations, finance, and UM teams. • Track KPIs and report on operational performance.

🎯 Requirements

• Bachelor’s in Business or Healthcare Administration. • 5+ years managed care claims management experience. • Expertise in Medicare Advantage and ISNP operations. • Experience with Plexis or similar systems preferred. • Strong analytical, leadership, and Excel skills.

Apply Now

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