Manager, Claims bei HMSA (Hawaii Medical Service Association)
HMSA (Hawaii Medical Service Association) · Honolulu, Vereinigte Staaten Von Amerika · Hybrid
- Professional
- Optionales Büro in Honolulu
- Manage and lead a claims team by providing training, mentorship, and best practice solutions.
- Manage daily operations of the claims team, including inventory analysis, tracking and resolution of claims
- Serve as the escalation point for complex or disputed claims and drive resolution within defined SLA.
- Monitor and analyze key performance indicators (KPIs) and take corrective actions to improve efficiency, accuracy, and customer satisfaction
- Collaborate with key stakeholders to include underwriting, LOB, legal, servicing teams to ensure a consistent and integrated approach to accurate and timely claims processing.
- Maintain documentation, audit trails, and reporting in line with internal controls and external compliance requirements.
- Contribute to the development and implementation of new policies, procedures, and systems to improve claims operations.
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