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Kaiser Permanente Careers

Insurance & Claims

Delivery You Can Count On

As a member of our Claims Connect team, you'll help process and deliver the claims information Kaiser Permanente's members, providers, regulators, and customers need, and expect, from a world-class health care organization.

Claims Processing Supervisor

Location: Downey, CA Job Number: 700323 Date posted: 05/17/2018
Description: Responsible for the operations of one or more claims processing units, including timely and proper adjudication of claims in accordance with contractual benefits. Responsible for providing leadership and direction to employees. Directs the processing of insurance claims to meet operation, financial, and service requirements. Develops and executes strategic and operational business plans for the departments. Coordinates department operations and modifications with other areas of the organization.

Essential Functions:
  • Works on issues of broad scope.
  • Receives assignments as objectives with the processes necessary to fulfill those goals.
  • Requires considerable planning and direction setting.
  • Develops and directs work schedules and monitors work flow to achieve established goals and objectives.
  • Responsible for recommending changes in guidelines, procedures, and policies.

  • Basic Qualifications:
    Experience
  • Minimum three (3) years of experience in claims processing.
    Education
  • Bachelor's degree in business administration, OR four (4) years of experience in a directly related field.
  • High School Diploma or General Education Development (GED) required.
    License, Certification, Registration
  • N/A

    Additional Requirements:
  • Requires knowledge of claims processing and working knowledge of another functional area.
  • Must be able to work in a Labor/Management Partnership environment.

    Preferred Qualifications:
  • Minimum three (3) years of management in a claims processing environment preferred. Primary Location: California,Downey,Downey Boeing - Independence Park 12254 Bellflower Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Sat Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Team Leader/Supervisor Job Category: Insurance / Claims Department: National Claims Administration Travel: Yes, 10 % of the Time
    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
  • About Insurance & Claims Careers

    Careers in Insurance & Claims

    Our insurance and claims teams are committed to meeting customer and member expectations when it comes to the timely and accurate processing of claims, while remaining in compliance with federal, state, and local laws, as well as regulations and rules. Make an impact as you contribute to the implementation of contemporary technology in areas such as claims quality, claims operations, business analysis, processing, configuration, reporting, and more.

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    Jan 24, 2018

    "Operations Manager"

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