Risk and Insurance Management Recruiting
At our Career Center, Insurance Professionals can search our job openings and apply for positions. To submit your resume email it to Gaye Rogan at grogan@rogangroup.com.

*Note that all background information is kept strictly confidential.

Category Listing

Posted: Wednesday, October 10, 2018

Medical Claims Manager - Benefits TPA

Garden City, NY
Salary: $60,000 - $90,000 DOE

Our client, a benefits TPA in Garden City, NY is seeking a Medical Claims Manager responsible for the management of accurate and timely adjudication of claims according to contracted/non-contracted guidelines.  The Claims Manager is also responsible for ensuring policies, procedures and workflow are administered appropriately.

Client Profile:

• Third Party Administrator of Health Plans

• Over 40 years in business

• Specializing in Self-funded Health Solutions and Plan Management (claims)

 

Qualifications:

• Minimum of 15 years claims processing management experience

• Minimum of 10 years in Healthcare Claims Processing within a Healtplan, HMO, TPA or IPA

• Strong knowledge of CMS regulations and requirements for claims processing

• Demonstrate strong knowledge with NCCI edits, CPT/HCPCS coding and ICD coding

• Strong MS Office product experience

• A Minimum of an Associate’s degree or equivalent education/work experience required

Our client offers a competitive salary and benefit package.

For more information contact Gaye Rogan:

Gaye Rogan

The Rogan Group, Inc.

Risk & Insurance Management Recruiting

443-394-6011

grogan@rogangroup.com

www.rogangroup.com

The Rogan Group, Inc. - is an Executive Search firm (recruiting firm) that specializes in the Risk Management and Insurance Industry. We conduct projects on a Local, Regional & National basis. Projects come from all areas of the industry, but we do place an emphasis on the Insurance Brokerage sector with Production and Management openings being a great percentage of our assignments. We’ve completed regional and national projects in both Property & Casualty and Employee Benefits. To see a list of our insurance openings/jobs, please visit our website at www.rogangroup.com



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