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Claims Processing Manager Jobs in Connecticut (NOW HIRING)

Oversee and manage daily operations of the claims processing department to ensure timely and accurate claim handling. * Develop, implement, and maintain quality control standards to ensure accuracy ...

Mgr, Claims Operations

Windsor, CT · Remote

$90K - $120K/yr

Broad knowledge of production management concepts, operating principles, and operational management methodology applicable to claims processing; a high degree of skill in applying this knowledge to ...

Mgr, Claims Operations

Windsor, CT · Remote

$90K - $120K/yr

Managing Performance * Pursuing Self-Development * Serving Customers * Supporting Change ... to claims processing; a high degree of skill in applying this knowledge to the analysis and ...

Mgr, Claims Operations

Windsor, CT · On-site

$90K - $120K/yr

Managing Performance * Pursuing Self-Development * Serving Customers * Supporting Change ... to claims processing; a high degree of skill in applying this knowledge to the analysis and ...

ESIS Senior Claims Assistant

Ledyard, CT · On-site

$18 - $22.75/hr

This role is responsible for intake coordination, document management, and customer service, ensuring efficient claims processing and compliance with Tribal and regulatory requirements. Key ...

ESIS Senior Claims Assistant

Ledyard, CT · On-site

$18 - $22.75/hr

This role is responsible for intake coordination, document management, and customer service, ensuring efficient claims processing and compliance with Tribal and regulatory requirements. Key ...

This leader will play a pivotal role in transforming the end-to-end Claims process by developing ... Strong governance and responsible AI grounding: model risk management, fairness/safety ...

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Claims Processing Manager information

What are the primary challenges faced by a claims processing manager, and how can they be addressed?

Claims Processing Managers often navigate challenges such as ensuring timely and accurate claim adjudication, managing a team with varying workloads, and staying up to date with regulatory changes. Balancing efficiency with compliance requires strong organizational skills and effective communication. Successful managers foster a collaborative environment, implement regular training, and leverage technology to streamline processes, all while maintaining high standards of customer service and data integrity.

What does a claims processing manager do?

A Claims Processing Manager oversees the team responsible for reviewing, evaluating, and processing insurance claims. Their duties include ensuring claims are handled efficiently and accurately, developing procedures to improve workflow, and maintaining compliance with industry regulations. They also resolve complex or escalated claims issues, provide staff training, and report on performance metrics. The role requires strong leadership, analytical skills, and attention to detail to ensure a fair and timely claims process.

What are the key skills and qualifications needed to thrive as a claims processing manager?

To thrive as a Claims Processing Manager, you need expertise in insurance claims procedures, analytical skills, and a solid understanding of regulatory compliance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management software, workflow automation tools, and data analysis systems is typically required. Strong leadership, attention to detail, and effective communication are crucial soft skills that set top performers apart in this role. These abilities ensure accurate and efficient claims processing, regulatory adherence, and effective team management, all of which are vital for organizational success.
What are the most commonly searched types of Claims Processing jobs in Connecticut? The most popular types of Claims Processing jobs in Connecticut are:
What cities in Connecticut are hiring for Claims Processing Manager jobs? Cities in Connecticut with the most Claims Processing Manager job openings:

Manager Claim Processing

The MH Group LLC

Hartford, CT • On-site

Full-time

Re-posted 16 days ago


Job description

Description:

Hybrid Opportunity


Position Summary

The organization is seeking a results-driven leader to oversee the day-to-day operations of its claims processing team. This role is responsible for providing strategic direction, managing workflows, and ensuring the accurate and timely processing of medical claims. The ideal candidate will focus on establishing performance metrics, driving process improvements, and fostering cross-functional collaboration to enhance operational efficiency and customer satisfaction.


Key Responsibilities

  • Oversee and manage daily operations of the claims processing department to ensure timely and accurate claim handling.
  • Develop, implement, and maintain quality control standards to ensure accuracy, compliance, and consistency in claims adjudication.
  • Provide guidance and support to team members on complex and escalated claims issues, ensuring adherence to policy and regulatory standards.
  • Analyze key performance indicators (KPIs) to evaluate productivity and quality; prepare and present performance reports to senior leadership.
  • Collaborate with cross-functional teams to identify and implement process enhancements, including automation and system upgrades.
  • Ensure ongoing compliance with applicable laws, regulations, and industry best practices related to claims processing.
  • Assist in budget planning by monitoring department expenses, analyzing variances, and recommending cost-effective strategies.
  • Foster a positive and inclusive team culture that supports professional growth and accountability.
  • Assign tasks and manage workload distribution to maximize team efficiency and ensure a balanced workload
  • .
Requirements:

Required Qualifications

  • 3–5 years of leadership or management experience
  • Proficiency in Microsoft Word, Excel, and Office Suite
  • Strong team collaboration and communication skills
  • Ability to plan, execute, and deliver operational goals
  • Proven problem-solving and sound decision-making capabilities
  • Growth mindset with a focus on adaptability, personal development, and mentoring others

MH Group logo

About MH Group

Sourced by ZipRecruiter

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

East Longmeadow, MA, US

Year founded

2013