Hybrid Claims Manager

at Pan-American Life Insurance Group

• Job title: Claims Manager
• Job type: Full Time
• Experience level: Junior, Mid level
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, United States

About the role

• Claims Manager providing leadership to the Claims team at Pan-American Life Insurance Group. Managing workflow and ensuring timely claims disposition in the U.S. Benefits department.

Responsibilities

• Provide leadership to the Claims team
• Organize, manage, and direct personnel and workflow for timely and accurate claims disposition
• Ensure production standards and quality results
• Plan, schedule, and direct the activities of claims processors
• Provide effective oversight of third-party administrators and other business partners
• Participate in the due diligence process as needed
• Evaluate team member performance and make recommendations
• Maintain a reliable staffing model
• Manage processes for maximum efficiency
• Support corporate strategic initiatives

Requirements

• Bachelor’s degree
• 2 years of experience in management and medical insurance claims (four additional years of relevant work experience may be substituted in lieu of a degree)
• Current knowledge of technologies in the health information sector and their applications
• Working knowledge of CPT, ADA, HCPCs and ICD-10 codes, UB-04 claim forms, 1500s, HIPAA, medical terminology, X12 837 transactions, insurance regulations, and insurance benefits
• Excellent written and oral communication skills
• Self-starter with strong analytical, organizational, and time management skills
• Strong interpersonal skills
• Ability to work with matrix partners and manage competing deadlines

Benefits

• Competitive compensation package (base salary & bonus)
• Comprehensive benefits, including medical, dental, 401(k), paid time off, and tuition reimbursement
• Medical and dental coverage effective the first of the month following 30 days of service
• Hybrid work opportunities