What are the responsibilities and job description for the Claims Director (remote) - California Medicare Advantage position at Intuitive Technology Group?
MUST HAVE : Medicare Advantage - California
LOCATION : Remote, working Pacific Time hours
RATE : $65-80 / hr W2
Exciting opportunity for a seasoned Claims Director to join our innovative healthcare team! We're seeking a dynamic professional to lead our claims department for a 10-month remote contract position.
Role Overview
As Claims Director, you'll oversee the operations of our insurance claims department, focusing on Medicare Advantage plans. You'll be responsible for developing strategies, implementing policies, and ensuring efficient claims processing while maintaining compliance with regulatory requirements.
Key Responsibilities
- Direct and manage the claims department, ensuring operational excellence and adherence to financial and service requirements
- Develop and implement strategies for claims processing, with a focus on Medicare Advantage plans
- Establish and maintain policies for insurance claims administration based on coverage, appraisal, and verifiable damage
- Provide expert guidance on complex claims and stay updated on relevant legislation and regulations
- Collaborate with internal departments and external stakeholders to optimize claims processes
- Analyze data to drive continuous improvement and identify areas for operational enhancement
- Manage and mentor claims staff, fostering a culture of excellence and professional growth4
Required Qualifications
Desired Skills
Salary : $65 - $80
