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DELTA HEALTH SYSTEMS MCC

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Claims Assistant Manager

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Description

  • Assist with the supervision of staff specific but not limited to training, planning, and directing work.
  • Responds to staff, internal and external customer inquiries, and provides resolution to issues accordingly.
  • First point of contact for customer calls that require research and a response.
  • Manages assigned tasks, queues, and ensures inventory is handled within department guidelines.
  • Manages internal emails, tracks inventory, and collaboration with staff for timely responses within department guidelines.
  • Collaborate with reporting manager to ensure turn-around times, quality standards and company goals are met.
  • Trend errors for assignments, identify training needs for staff, collaborate with quality assurance on unit module updates.
  • Attends staff meetings to assist with delivery of materials, trainings, and communication.
  • Assists in the coordination of the work flow and control of work procedures.
  • Provides guidance to subordinates regarding general claims and escalated issues.
  • Communicates directly with clients, providers, and internal and external areas.
  • Adherence to company and department policies and procedures.
  • Understands the guidelines for timeliness and the expected turnaround time within the department.
  • Must occasionally travel to client locations.
  • Performs other duties as assigned.
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