Claims Manager (20130529) at Overland Park

Job Description

CoreSource is one of the nations largest third party administrators (TPAs) recognized for delivering integrated, customized health benefit solutions with local, personalized service from nine regional offices across the country. With cutting-edge products and services that smaller TPAs can’t match, CoreSource has a proven track record of significantly lowering the healthcare spend for self-funded employers. Today, CoreSource administers benefits for more than 700 self-funded employers across the United States. In 2009, we processed approximately $3 billion in claims for some 1.1 million plan members. We are an EEO/AA employer. M/F/D/V

For more than 35 years, CoreSource has been delivering customized employee benefit administration services to self-funded employers across the United States. Each of our offices around the country is managed locally, by industry veterans who understand the dynamics of the markets they serve. Every CoreSource office delivers the personal attention of a local TPA, backed by the resources and innovation of a large national organization, The Trustmark Companies.

CoreSource is looking for a Claims Manager in our Overland Park, Kansas office. In this role, you will be responsible for managing all aspects of claims processing. This position is also responsible for staff utilization and development, inventory management, expense control, and administrative functions related to achieving service goals for CorseSource.

Essential Job Functions

• Assists in establishing sound claims practices and policies
• Ensures thorough claims investigations, settlements, and legal reviews as needed.
• Handles all personnel related matters, such as interviewing and hiring; training and development; recognition and discipline; conducting reviews and determining salary adjustments
• Monitors and maintains effective workloads and workflow
• Ensures performance guarantees are met
• Ensures that all departmental functions are completed timely and accurately
• Ensures departmental customer service standards are met
• Maintains open communication with sales staff and clients
• Performs other duties and projects, as assigned

 

Job Requirements

Knowledge, Skills & Abilities

To successfully perform the essential functions of this position, the incumbent must have

• high school diploma or equivalent
• 5+ years health claims experience
• 3+ years managerial experience
• High degree of accuracy and timeliness
• Excellent oral and written communication skills
• Excel/Word experience preferred
• Creative problem-solving
• Demonstrated ability to handle multiple tasks, set priorities and stay organized
• Attention to detail

Country: USA, State: Kansas, City: Overland Park, Company: Coresource.