We are seeking an experienced Senior Medical Claims Manager to lead and oversee the processing, review, and approval of medical insurance claims. The role involves managing claims teams, ensuring compliance with policies, and maintaining efficient claims operations.
Requirements:
Bachelor’s degree in Healthcare, Insurance, or related field
8+ years of experience in medical claims, with at least 2 years in a managerial role
Strong knowledge of medical terminology, insurance policies, and regulatory guidelines
Excellent leadership, analytical, and decision-making skills
Experience with claims management systems and reporting tools