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Healthcare Claims Operations Manager
2 months ago
We are seeking a dedicated Claims Operations Coordinator III to join our team at Kaiser Permanente. This role is essential in ensuring the smooth processing of health insurance claims.
Key Responsibilities- Manage the adjudication process for health insurance claims, ensuring compliance with regulatory standards.
- Address and resolve disputes, appeals, and grievances with a focus on customer satisfaction.
- Interpret and apply existing regulatory guidelines while staying informed on new requirements.
- Utilize strong critical thinking skills to analyze complex claims issues and provide effective solutions.
The ideal candidate will possess a robust background in customer service, demonstrating the ability to communicate effectively in both written and verbal formats. A thorough understanding of claims processing and operations within the healthcare sector is essential.
Join us in making a difference in the healthcare industry by ensuring that our claims operations run efficiently and effectively.
