Director Claims Administration

Job description

Job Summary - Director, Claims Administration The Director of Claims Administration is responsible for the accurate, timely and efficient adjudication and payment of claims for all product lines at Priority Health. The leader is accountable for claim inventory, claim speed to process, claim auto adjudication rate, claim examiner quality scores, coordination of benefits savings, and third party liability savings. Essential Functions - Director, Claims Administration - Lead and develop a high performing claims adjudication team. Assure proper staffing levels. - Implement goals setting, monitoring and achieving service-levels, medical trend management savings, and unit costs. - Ensure functions to meet or exceed corporate standards for accuracy and timeliness of claim payment. - Foster and maintain relationships with other departments to ensure that claims processes and procedures efficiently support other departments, products and overall customer service. Service on corporate committees as directed. - Initiate process improvement and cost-saving measures. Foster an environment that allows for continuous improvement. - Develop multi-year roadmaps and meet targets for unit costs, serv...