We are seeking a dedicated and detail-oriented Assistant Manager of Mass Health Claims to join our dynamic team in the insurance industry. This role is critical in ensuring the efficient management and processing of claims related to Mass Health programs, which serve a vital need in our community. As the Assistant Manager, you will be responsible for overseeing the day-to-day operations of the claims department, ensuring compliance with state regulations, and maintaining high standards of customer service. Your leadership will guide a team of claims processors, providing mentorship, training, and support to enhance their professional development. You will work closely with management to implement best practices and streamline processes for optimal efficiency. This position offers the opportunity to play a significant role in improving the organization's claims management system, utilizing data analytics to identify trends, and making recommendations for enhancements. The ideal candidate will possess strong communication skills, a keen eye for detail, and a passion for making a difference in the lives of those we serve. If you are looking for a challenging yet rewarding career opportunity where you can apply your expertise in claims management while contributing to the betterment of health services, we invite you to apply for this exciting position.
Responsibilities
- Oversee the daily operations of the Mass Health claims department and ensure timely processing of claims.
- Supervise and mentor a team of claims processors, fostering an environment of continuous learning and development.
- Monitor compliance with state regulations and internal policies related to Mass Health claims processing.
- Analyze claims data to identify trends and areas for improvement in processing efficiency and accuracy.
- Collaborate with other departments to resolve complex claims issues and improve overall service delivery.
- Develop and implement training programs for claims staff to enhance their skills and knowledge.
- Assist in the preparation of reports for management to track key performance indicators and operational metrics.
Requirements
- Bachelor's degree in Business Administration, Health Administration, or a related field.
- Minimum of 5 years of experience in claims management, preferably within the health insurance sector.
- Strong knowledge of Mass Health regulations and compliance requirements.
- Proven leadership skills with experience managing teams and driving performance improvements.
- Excellent analytical and problem-solving abilities, with strong attention to detail.
- Effective communication and interpersonal skills to engage with various stakeholders.
- Proficiency in claims management software and MS Office applications.
