Top 784 Senior claims manager Jobs in Illinois

Sr. Manager Claims (Remote)
American Medical Association —Chicago, IL
- $104,872 - $138,737 a year
- Remote
- 7 years
- Writing skills
- HIPAA
- Disability insurance
IL-Woodridge Senior Insurance Agent & Leadership Opportunity Life, Health & Medicare | Independent Agent | Uncapped Income
AMERICAN SENIOR BENEFITS LLC —Woodridge, IL
- $50,000 - $100,000 a year
- Full-time
- Mid-level
- Mentoring
- Recruiting
- Flexible schedule
VP, Senior Property Underwriter, Treaty
SCOR —Chicago, IL
- $218,000 - $294,500 a year
- Hybrid work
- 5 years
- Office
- Project management
- AD&D insurance
- Paid holidays
Service Manager - Midas
Leeds West Groups —Peru, IL
- $45,000 - $75,000 a year
- Full-time
- Background check
- 18 years or older
- Clean driving record
- Health savings account
- Paid holidays
Quick Apply
6d
AUTOMOTIVE STORE MANAGER - Midas
Leeds West Groups —Peoria, IL
- $50,000 - $85,000 a year
- Full-time
- Background check
- 18 years or older
- Clean driving record
- Health savings account
- Paid holidays
Quick Apply
6d
Business Development Representative (BDR) - Roofing, Siding, Windows
Dad Exteriors —Chicago, IL
- $50,000 - $150,000 a year
- Contract
- No experience needed
- Business development
- In-person
- Mileage reimbursement
- Cell phone reimbursement
Quick Apply
Service Manager - Midas
Leeds West Groups —Peoria, IL
- $45,000 - $75,000 a year
- Full-time
- Background check
- 18 years or older
- Clean driving record
- Health savings account
- Paid holidays
Quick Apply
6d
Senior Risk Management & Insurance Analyst
Rotary International —Evanston, IL
- $99,900 - $111,000 a year
- Customer service
- 5 years
- Data analysis skills
- Health insurance
- Dental insurance
Quick Apply
EHS Professional
The Visual Pak Companies —Waukegan, IL
- $70,000 - $85,000 a year
- Full-time
- Spanish
- Research
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
Risk Manager - Chicago, IL
Trinity Property Consultants —Chicago, IL
- $120,000 - $140,000 a year
- Weekends as needed
- 5 years
- Office
- Residential
- Health savings account
- AD&D insurance
Quick Apply
11d
VP, Analytics
CNA Insurance —Chicago, IL
- $194,000 - $308,000 a year
- Full-time
- 7 years
- Product management
- Senior level
Product Manager – Personal Auto Insurance (Pricing)
AMERICAN FREEDOM INSURANCE —Mount Prospect, IL
- $135,000 - $150,000 a year
- Monday to Friday
- Mid-level
- Office
- 3 years
- Paid training
- Health savings account
Quick Apply
5d
EHS Professional
THE VISUAL PAK COMPANIES —Waukegan, IL
- Spanish
- Research
- Bachelor's degree
- Commuter assistance
- Paid holidays
Quick Apply
ISFSI Impl & Support Mgr
Constellation Energy —Warrenville, IL
- $146,700 - $163,000 a year
- Full-time
- Up to 50% travel
- Mid-level
- 8 years
- Employee stock purchase plan
- Paid holidays
General Liability - Senior Claims Adjuster
Gallagher Bassett —Rolling Meadows, IL
- $66,000 - $94,500 a year
- Full-time
- Remote
- 5 years
- High school diploma or GED
- Analysis skills
- Paid parental leave
- Health savings account
Senior Workers' Compensation Claims Specialist
CorVel Corporation —Downers Grove, IL
- $61,053 - $98,334 a year
- Full-time
- Hybrid work
- Customer service
- Computer literacy
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
2d
Brand Manager - Brand Growth & Innovation - Huggies Diapers
Kimberly-Clark —Chicago, IL
- $140,320 - $173,360 a year
- Online Application
- Background check
- Management
- Pass drug screening
- Profit sharing
- Health insurance
Senior Business Analyst - Onsite
Genesis10 —Chicago, IL
- $60 - $65 an hour
- Contract
- Office
- 3 years
- Mentoring
- Commuter assistance
- Health savings account
Quick Apply
11d
Senior Manager, Construction Claims
Markel Service Inc. —Chicago, IL
- $118,960 - $163,570 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- AD&D insurance
- Employee stock purchase plan
Quick Apply
8d
Senior Claims Manager
AmericanAg® —Schaumburg, IL
- $165,000 - $190,000 a year
- Hybrid work
- Office
- 8 years
- Analysis skills
Quick Apply

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senior claims manager jobs near illinois

Sr. Manager Claims (Remote)

American Medical Association -
Chicago, IL

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Job Details

$104,872 - $138,737 a year

Benefits

Disability insurance

Qualifications

Staff supervision
Confidential information handling
HIPAA compliance
Team leadership
Writing skills
Presentations for conferences or internal meetings
HIPAA
Medical claims processing software
High school diploma or GED
Team development
ICD-9
ICD-10
HCPCS
Managing insurance claims teams
Medical terminology

Full Job Description

Sr. Manager Claims (Remote)

FL, IL, IN and WI

AMA Insurance (AMAI) offers life, health and disability insurance at affordable and exclusive rates to help doctors achieve a healthy and secure financial future. AMAI is part of the American Medical Association (AMA), a nonprofit, and the nation's largest professional Association of physicians. We are a unifying voice and powerful ally for America's physicians, the patients they care for, and the promise of a healthier nation. To be part of the AMA is to be part of our Mission to promote the art and science of medicine and the betterment of public health.

At AMA, our mission to improve the health of the nation starts with our people. We foster an inclusive, people-first culture where every employee is empowered to perform at their best. Together, we advance meaningful change in health care and the communities we serve.

We encourage and support professional development for our employees, and we are dedicated to social responsibility. We invite you to learn more about us and we look forward to getting to know you.

We have an opportunity for a remote Sr. Manager Claims on our AMA Insurance team. This role will manage AMA Insurance Claims Department by establishing claims polices and managing all claims related data, processes and procedures for AMA Insurance. Responsible for the timely and accurate processing of claims, ensuring adherence to all carrier requirements and federal/state regulations.. Serves as Agency subject matter expert and primary point of contact for all claims related functions; working closely with internal and external business partners. Responsible for process improvement and the development and utilization of key processing metrics. Manages team of claims processors.

RESPONSIBILITIES:

Compliance

Ensures AMAI remains in compliance with all claims related processing; must adhere to all carrier and/or state regulatory requirements with regards to timeliness, accuracy, and payments.
Leads annual carrier claims audits for Agency. This includes gathering files/information, communicating findings, and working directly with carrier audit team to resolve implement any required changes. Communicates findings with Agency senior management.
Responsible for periodic regulatory updates required on a state level. Collaborates with Legal to understand changes and then responsible for updating processes.
Responsible for accurately calculating benefits, benefit periods and interest calculations associated with claims payments as defined by carrier requirements.
Manages the internal AMAI claims review program; develops AMAI response on Claims reviews, complaints, and appeals; includes necessary research and coordinating with Legal and Leadership as needed.
Develops and implements processing changes as needed.

Claims Workflow Management

Responsible for the development, implementation and management of procedures and workflows to ensure AMAI meets all claims handling and compliance requirements throughout the entire claim life cycle.
Performs workload balancing daily based on incoming claims volumes and staff capacity.
Continually reviews team performance metrics to identify any process or quality gaps based on claims department goals and carrier Service Level Agreements.
Develops claims data reporting and workflow monitoring reports as needed to gain deeper insight into processing performance; results to drive process improvements.
Leads Claims and Customer Service team response when handling complex customer service matters.
Manage error resolution process (ex. issues with data file transfers), coordinating between AMAI IT and vendors (as needed) to identify, fix, and if needed, update processes to prevent errors from recurring.

Relationship Management

Act as a primary contact on claims related topic with partner carriers claims and compliance departments (including management teams); serves as an internal subject matter expert in both AMAI processes and claims regulations.

Manages the relationships with claims process vendors; includes negotiating terms/pricing, leading problem resolution with vendor and/or AMAI IT; coordinating updates to processes, and providing expert opinions.

Staff Management

Lead, mentor, and provide management oversight for staff.
Responsible for setting objectives, evaluating employee performance, and fostering a collaborative team environment.
Responsible for developing staff knowledge and skills to support career development.

May include other responsibilities as assigned

REQUIREMENTS:

1. Bachelor's degree preferred or equivalent work experience and HS diploma/equivalent education required.

2. 7+ years experience in health claims management.

3. Experience in people management required; able to attract and develop talent. Proven claims experience with multiple products including Medicare Supplement, major medical, hospital indemnity, life and disability insurance required.

4. Expert knowledge of medical terminology, ICD-9/ICD-10 codes, CPT/HCPCS and revenue codes required.

5. In-depth understanding of claims systems and electronic processing of medical claims (HIPAA ANSI 5010 electronic transactions) and imaging systems required.

6. Excellent organizational skills and attention to detail with the ability to manage multiple priorities and meet deadlines.

7. Ability to make sound judgments using strong critical thinking, analytical, research and problem-solving skills.

8. Demonstrated sense of discretion when handling confidential information.

9. Ability to effectively present information and respond to questions from staff, management, plan participants and business partners, using excellent verbal and written communications skills including creating and writing reports, business correspondence and procedure manuals.

This role is an exempt position, and the salary range for this position is $104,872 - $138,737. This is the lowest to highest salary we believe we would pay for this role at the time of this posting. An employee’s pay within the salary range will be determined by a variety of factors including but not limited to business consideration and geographical location, as well as candidate qualifications, such as skills, education, and experience. Employees are also eligible to participate in an incentive plan. To learn more about the American Medical Association’s benefits offerings, please click here.

We are an equal opportunity employer, committed to diversity in our workforce. All qualified applicants will receive consideration for employment. As an EOE/AA employer, the American Medical Association will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, age, national origin, sexual orientation, gender identity and veteran or disability status.

THE AMA IS COMMITTED TO IMPROVING THE HEALTH OF THE NATION

Apply Now

Refine Your Search

senior claims manager jobs in illinois

Sr. Manager Claims (Remote)

IL-Woodridge Senior Insurance Agent & Leadership Opportunity Life, Health & Medicare | Independent Agent | Uncapped Income

VP, Senior Property Underwriter, Treaty

Service Manager - Midas

AUTOMOTIVE STORE MANAGER - Midas

Business Development Representative (BDR) - Roofing, Siding, Windows

Service Manager - Midas

Senior Risk Management & Insurance Analyst

EHS Professional

Risk Manager - Chicago, IL

VP, Analytics

Product Manager – Personal Auto Insurance (Pricing)

EHS Professional

ISFSI Impl & Support Mgr

General Liability - Senior Claims Adjuster

Senior Workers' Compensation Claims Specialist

Brand Manager - Brand Growth & Innovation - Huggies Diapers

Senior Business Analyst - Onsite

Senior Manager, Construction Claims

Senior Claims Manager

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