insurance operations manager

BC Careers

<p><b>Role Summary:</b></p><p>The Revenue Cycle Manager ensures the efficient and smooth processing of patient billing, pre-authorization, insurance claims and recovery through effective liaising with insurance companies while maximizing patient satisfaction by leading the insurance operations with the objective of streamlining the process.</p><p>Responsible for timely insurance claims and pre-authorization processing, overseeing the insurance operations and designing, implementing and training staff on insurance protocols.</p><p><b>Qualifications:</b></p><ul><li>Bachelor's degree in Finance or related discipline and master&rsquo;s degree in RCM/MBA/MHA is desirable.</li><li>Minimum for 3 to 5 years of Qatar experience in a Hospital setting in a similar role (Payer/Provider Experience will be added value).</li><li>Knowledge on insurance claims and billing process.</li><li>Knowledge on Qatar laws applicable to insurance legislations.</li><li>Experience in revenue cycle management.</li></ul><p>Job Types: Full-time, Permanent</p><p>Ability to commute/relocate:</p><ul><li>Doha: Reliably commute or willing to relocate with an employer-provided relocation package (Required)</li></ul><p>Application Question(s):</p><ul><li>What is your salary expectation?</li></ul><p>Education:</p><ul><li>Bachelor's (Required)</li></ul><p>Experience:</p><ul><li>RCM Manager: 8 years (Required)</li></ul><p>Location:</p><ul><li>Doha (Preferred)</li></ul>

Revenue Cycle Manager

Rural Mutual Insurance Company

<div><p>The manager of insurance brokerage operations is responsible for leading and managing a team of insurance professionals to ensure the efficient operation of Rural Mutual Insurance's brokerage department. The successful candidate will oversee the day-to-day operations of the brokerage department, including sales, customer service, staff development, and compliance. Based in our Madison corporate office, there is a potential for a hybrid work arrangement. If you are passionate about leadership and are ready to take the next step, we'd love to hear from you.</p><b>
Compensation:</b><p>
$70,000 - $90,000 yearly</p><b>
Responsibilities:</b><ul><li>
Lead and manage the brokerage team to achieve the department's goals and objectives.</li><li>
Monitor and evaluate the performance of the team to ensure efficient and effective operations and provide feedback to improve performance when necessary.</li><li>
Develop and implement strategies to improve our customer service, processes, agent partnerships, and CRM capabilities while increasing premium and commission revenue.</li><li>
Ensure the department complies with all applicable regulations and company policies.</li><li>
Develop and maintain relationships with agents and outside partnerships to ensure the department's success.</li><li>
Train team members regarding product knowledge, procedures, and customer service.</li><li>
Monitor market trends and provide recommendations to the Director of Statewide Services, Inc.</li><li>
Develop and implement policies and procedures to improve the efficiency and effectiveness of the department.</li><li>
Conduct regular meetings with the team to discuss performance, client needs, procedure enhancements, and sales trends.</li><li>
Ensure all documentation and reporting are accurate and up to date.</li><li>
Other duties as assigned.</li></ul><b>
Qualifications:</b><ul><li>
Bachelor's degree in business, finance, or a related field.</li><li>
At least 5 years of experience in brokerage or a non-standard market.</li><li>
Property &amp; Casualty license in the state of Wisconsin is required. Licensing in other states, as required by the brokerage firm, will need to be completed within 6 months of assuming this role.</li><li>
Strong leadership, communication, and interpersonal skills.</li><li>
Excellent knowledge of non-standard products, markets, and regulations.</li><li>
Has a track record of exceeding goals successfully.</li><li>
Implements ideas that improve processes and performance.</li><li>
Develops others through coaching, feedback, exposure, and stretch assignments.</li><li>
Considers all relevant factors and uses appropriate decision-making criteria and principles.</li><li>
Ability to analyze market trends and provide recommendations to the Director of Statewide Service.</li><li>
Strong organizational and planning skills.</li><li>
Excellent attention to detail and ability to multitask.</li><li>
Ability to work in a fast-paced, dynamic environment, under pressure, and meet tight deadlines.</li><li>
Bilingual abilities (Spanish, Hmong, etc.) are a plus.</li></ul><b>
About Company</b><p><b><br>
What You'll Love About Rural Mutual Insurance:</b></p><p>
We are a leading property and casualty insurance company based in Wisconsin, well known for our financial strength and longevity in the insurance industry. Our reputation in the marketplace ensures stability and opens up numerous growth opportunities for our employees.</p><p>
We created a welcoming place to work with friendly and professional leadership. We are known for the great care we take with our staff, our agents, and our customers. We are passionate and determined about delivering the best customer service, preserving insurance industry knowledge, and making a difference through the work that we do.</p><p><b>
We believe in a healthy work/life balance and, to that end, offer a competitive and comprehensive compensation package including health, dental, life, LTD, and vision insurance as well as an employee bonus plan, matching 401(k) plan, and generous time off benefits.</b></p></div>

Manager Insurance Brokerage Operation

Aspris by alkalma

<p><strong>Team Leadership &amp; Supervision:</strong></p>
<ul>
<li>Supervise and manage a team of insurance team at any site in UAE.</li>
<li>Provide guidance and training to ensure team members are well-versed in insurance processes, policies, and regulations.</li>
<li>Conduct performance evaluations and manage staff development, including providing feedback, setting goals, and identifying growth opportunities.</li>
<li>Handle day-to-day team operations, assigning tasks, monitoring performance, and ensuring productivity and quality standards are met.</li>
</ul>
<p><strong>Insurance Claims</strong></p>
<ul>
<li>Oversee the processing and adjudication of insurance claims, ensuring that all claims are handled in a timely, efficient, and compliant manner.</li>
<li>Review files and policies, ensuring that coverage meets patients  needs and company standards.</li>
<li>Manage the approval process, submission and resubmission of claims</li>
<li>Ensure accurate documentation and record-keeping for all insurance transactions.</li>
</ul>
<p><strong>Customer Service &amp; Client Interaction:</strong></p>
<ul>
<li>Act as a point of escalation for customer issues or complaints related to insurance claims or policies.</li>
<li>Ensure excellent customer service is provided by the team, ensuring client satisfaction and retention.</li>
<li>Assist in responding to client inquiries, explaining policy terms, and resolving coverage-related issues.</li>
</ul>
<p><strong>Compliance &amp; Risk Management</strong></p>
<ul>
<li>Ensure that insurance practices adhere to regulatory standards, internal policies, and industry best practices.</li>
<li>Monitor and ensure compliance with legal requirements, such as the accuracy of policy documentation, and file submissions.</li>
<li>Work with the risk management team to identify and mitigate potential risks and liabilities.</li>
</ul>
<p><strong>Reporting &amp; Documentation:</strong></p>
<ul>
<li>Maintain accurate records of all insurance-related activities, ensuring proper documentation for audits and reviews.</li>
<li>Generate regular reports for upper management regarding claims performance, team productivity, and customer satisfaction.</li>
<li>Ensure all policies are accurately updated and renewed within required timelines.</li>
</ul>
<p><strong>Process Improvement:</strong></p>
<ul>
<li>Identify opportunities for process improvements within the insurance department to increase efficiency and reduce errors.</li>
<li>Implement new tools, technologies, or systems to streamline operations and improve the customer experience.</li>
</ul>

Insurance Supervisor

Kuehne+Nagel

<div><div><div><div><p>It's more than a job</p></div></div><p>
As an Insurance professional at Kuehne+Nagel, your job is to help individuals and companies manage and mitigate risks associated with their supply chain. At the same time, your work helps create memorable experiences for people around the world. For example, your expertise empowers our teams to master the transportation and storage of fine wines so that couples and friends can enjoy dates and celebrations. Insurance work at Kuehne+Nagel contributes to more than we imagine.</p><div><div><div><div>
&lrm;</div>
</div><div><p>You will be part of our Nacora team, adding your expertise + skills to the delivery of Customer + Operational Excellence. Your primary objective will be to oversee overall operations, encompassing the Global Shared Service Center Claims, Local Insurance Broking operations, and the management of Marine Cargo + Liability + Employee Health Insurance Claims.</p></div></div><div><div><div><b>
How you create impact</b></div>
</div><div><ul><li>Oversee Nacora Operations to ensure process enhancement and quality service delivery to uphold high standards of service excellence.</li><li>
Lead and inspire a team, fostering a positive work environment, building motivation, and strengthening the sense of belonging.</li><li>
Work closely with internal and external stakeholders worldwide, consistently seeking feedback and implementing relevant corrective actions.</li><li>
Develop and drive strategies based on data analysis to improve operational efficiency and effectiveness.</li></ul></div></div><div><div><div><b>
What we would like you to bring</b></div>
</div><div><ul><li>Minimum 8&ndash;9 years of experience in insurance operations or a similar role.</li><li>
MUST have general insurance background with Marine Cargo + Liability + Employee Health Insurance Claims experience.</li><li>
Proven leadership and team management experience.</li><li>
Excellent organizational, analytical, and problem-solving skills.</li><li>
Effective communication and stakeholder management abilities.</li></ul></div></div><div><div><div><b>
What's in it for you</b></div>
</div><div><p>As an employer, Kuehne+Nagel stands for equal opportunity and we are committed to diversity in our teams with regards to people with disabilities. We believe that you can make a valuable contribution to Kuehne+Nagel and look forward to receiving your application.</p></div></div></div><div><div><b>
Who we are</b></div></div><p>
Logistics shapes everyday life - from the goods we consume to the healthcare we rely on. At Kuehne+Nagel, your work goes beyond logistics; it enables both ordinary and special moments in the lives of people around the world.</p><p>
As a global leader with a strong heritage and a vision to move the world forward, we offer a safe, stable environment where your career can make a real difference. Whether we help deliver life-saving medicines, develop sustainable transportation solutions or support our local communities, your career will contribute to more than you can imagine.</p><p>
We kindly advise that placement agencies refrain from submitting unsolicited profiles. Any submissions of candidates without prior signed agreement will be considered our property and no fees will be paid.</p></div></div><div></div>

National Nacora Operations Manager

Continental General

<div><p><b>TPA OPERATIONS IMPLEMENTATION LEAD</b><br>
<b>(Full Time, Salary, Exempt)</b></p><p>
</p><p>Looking to join a growing company dedicated to helping others? We offer that, plus competitive salaries, a culture of learning, and a fast-paced environment. This is a hybrid position with 3 days in-office. Join our team to help make a difference in the lives of others!
</p><p></p><p><b>About Continental General:</b></p><p>
The Continental General family of companies has provided insurance, including life and long-term care policies, to individuals and groups for over 30 years, and currently supports over 100,000 policyholders. Both our insurance company, Continental General Insurance Company, and our third-party administrator, Continental General Services, are committed to the continuous development of our infrastructure, processes, and people. The group is actively growing through expansion of both its insurance portfolio and its administrative services. With each opportunity, we take a collaborative approach to address challenges and provide unique solutions.</p><p>
</p><p><b>Position Overview:</b><br>
The Third-Party Administration (TPA) Operations Implementation Lead is a pivotal role responsible for leading operational readiness, coordinating cross-functional execution and ensuring that service delivery standards, regulatory requirements and client expectations are met during all phases of implementation. It will oversee and drive the successful transition, onboarding, and integration of new operational processes, clients, and products within the TPA environment. This role ensures that all operational aspects related to life insurance, long-term care and annuity administration are effectively implemented, streamlined, and aligned with both client expectations and regulatory requirements.</p><p>
</p><p><b>Key Responsibilities:</b></p><ul><li>
Lead end-to-end implementation projects for new and transitioning clients, including planning, organizing, and executing all operational activities.</li><li>
Serve as the primary point of contact between clients, internal teams, and external partners, ensuring clear communication and alignment on objectives and deliverables.</li><li>
Ensure alignment between internal operations, compliance and legal, value stream teams, and external partners throughout the implementation lifecycle</li><li>
Analyze, design, and implement operational workflows for life insurance, long-term care and annuity administration, focusing on efficiency, compliance, and scalability.</li><li>
Ensure that all implementation activities adhere to regulatory requirements and organizational risk management frameworks.</li><li>
Coordinate and support development of training sessions for staff and clients on systems, processes, and technologies introduced during the implementation</li><li>
Proactively identify potential challenges or obstacles and drive timely resolution to minimize impact on project timelines and service quality.</li><li>
Develop and present regular updates on project status, key milestones, risks, and outcomes to senior leadership and stakeholders.</li><li>
Collaborate with TPA partners to define operational workflows, service models and performance metrics.</li><li>
Drive readiness reviews, user acceptance testing and post implementation validation to ensure seamless customer and agent experience.</li><li>
Identify gaps and implement improvements to enhance efficiency, accuracy and customer satisfaction.</li><li>
Serve as the primary point of contact for operational escalations and issue resolution during the transition period.</li><li>
Develop documentation, training and knowledge transfer materials to ensure smooth handoff to steady-state operations.</li></ul><p><b>
Qualifications:</b></p><ul><li>
Bachelor&rsquo;s degree in business administration, Operations Management, Insurance, or related field (or the equivalent years of education and experience).</li><li>
10+ years of experience in account management, client services, or a similar role within a TPA, insurance company, or benefits administration provider.</li><li>
Extensive knowledge of life, annuity, long-term care, health or disability insurance products and operations, preferably within a TPA environment.</li><li>
Proven track record leading complex operational implementations and cross-functional teams.</li><li>
Strong understanding of regulatory and compliance requirements in the life insurance, long-term care and annuity sector.</li><li>
Excellent communication, project management, and stakeholder engagement skills.</li><li>
Ability to analyze processes, identify improvements, and drive change effectively.</li><li>
Proficiency with core insurance administration systems and industry-standard project management tools.</li></ul><p>
</p><p><b>Core Competencies:</b></p><ul><li>
Agility and adaptability in managing multiple priorities and changing client needs.</li><li>
Strong problem-solving abilities and a proactive approach to overcoming challenges.</li><li>
Commitment to delivering high-quality service and continuous improvement.</li><li>
Ability to foster collaboration across diverse teams and stakeholders.</li><li>
Proactively identifies opportunities and takes action to improve processes and outcomes.</li></ul><p>
</p><p><b>Why Join Us?</b></p><ul><li>
Competitive salary and benefits, including 401(k), health insurance, and performance-based bonuses.</li><li>
Collaborative and fast-paced work environment.</li><li>
Professional development and growth opportunities within the finance and investment space.</li></ul><p>
</p><p><b>Benefits:</b></p><ul><li>
Competitive Salary &amp; Target Bonus Program</li><li>
Retirement Savings &ndash; 401(k) with a company match</li><li>
Comprehensive Medical insurance through BlueCross BlueShield of Texas. Company-paid dental, vision, short-term &amp; long-term disability, and life insurance.</li><li>
Work-Life Balance &ndash; This role offers 20+ days of PTO, 10 paid holidays, and paid volunteer time off.</li><li>
Flexible Work Options &amp; Perks &ndash; Hybrid opportunity, wellness programs, and weekly paid lunch for onsite staff.</li><li>
Health Savings Accounts (HSA) &amp; Flexible Spending Accounts (FSAs) &ndash; Includes a company match for HSAs.</li></ul></div>

TPA Operations Implementation Lead

All-Pro Auto Reconditioning

<div><p><b>Area Operations Manager</b></p><p>
The Area Operations Manager reports directly to the Regional Operations Manager and will oversee Operations Managers, Lot Coordinators, operations, sales, and financials for respective areas.</p><p><b><br>
Area Operations Manager Job Details</b></p><br>
<ul><li>
Ensure all standards for professionalism, appearance, vehicle, work ethic, customer service, and workplace safety and cleanliness are always upheld</li><li>
Develop and maintain relationships with current and prospective customers</li><li>
Attend regional operations team weekly meetings with Regional Operations Manager &amp; Operations Managers</li><li>
Attend monthly meetings with Regional Operations Managers to review goals and expectations</li><li>
Visit all stores within the area on a weekly basis</li><li>
Attend Regional &amp; EchoPark conference calls weekly</li><li>
Hold in person meetings with all associates to discuss issues, daily goals, constraints, plan for all stores</li><li>
Attend trade walks &amp;/or morning team huddles on daily basis</li><li>
Audit nightly WIP emails/reports for opportunities of improvement, support needed, and/or overall location health</li><li>
Reply once a week to every store&rsquo;s nightly WIP emails/reports</li><li>
Send weekly recap emails to store management to all stores in area</li><li>
Ensure daily billing at all locations in region</li><li>
Work with Regional Operations Manager to ensure proper budgeting, staffing, and planning is in place to handle current business</li><li>
Review monthly P&amp;Ls and work with Regional Operations Manager on financial improvement</li><li>
Ensure locations, visits and calls are entered and notated in NetSuite</li><li>
Review and process requisition/SCF forms</li><li>
Review &amp; correct daily missing punch &amp; punch changes</li><li>
Submit bi-weekly amex reports</li><li>
Submit schedules to Human Resources monthly by the 25th of each month</li><li>
Submit all payroll for area within assigned deadlines</li><li>
Review and/or submit supply orders for all stores in area</li><li>
Compile monthly Risk Compliance reports for area</li><li>
Assist in all Accounts Payables/Receivables for area</li><li>
Keep up with new products available by supplier and inform technicians on those products</li><li>
Ensure effective and efficient operations</li><li>
Proficient in all Operations Manager and Lot Coordinator duties</li><li>
Ensure proper roll out of new products, policies, practices and procedures</li><li>
Communicate daily with Regional Operations Manager, &amp; all assigned Operations Managers &amp; Lot Coordinators</li><li>
Provide important data and updates to Regional Operations Manager in a timely manner</li><li>
Other duties assigned by Regional Operations Manager not limited to the above</li></ul><p><b><br>
Area Operations Manager Requirements</b></p><br>
<ul><li>
Valid driver&rsquo;s license with clean driving record</li><li>
Previous management experience required</li><li>
Excellent communication and time management skills</li><li>
College degree preferred</li><li>
Proficient in Mac OS, Microsoft Office</li><li>
Must be willing to submit to a pre-employment background check</li><li>
Must be willing to work in a fast-paced environment</li><li>
Positive attitude</li></ul><p><br>
As a team member at All-Pro Auto Reconditioning, you&rsquo;ll enjoy a variety of perks and benefits.</p><p><b><br>
Benefits</b></p><ul><li>
Medical Insurance for you and your family</li><li>
Dental Insurance</li><li>
Vision Insurance</li><li>
Term, Whole Life &amp; AD&amp;D Insurance</li><li>
Short &amp; Long Term Disability Insurance</li><li>
401(k) Traditional &amp; Roth</li><li>
401(k) Employer Matching</li><li>
Opportunities for Advancement</li><li>
And Much More!</li></ul><p>
Apply to our team today at www.allprorecon.com or respond directly to this job posting with your resume and contact information.</p><p><b><br>
About Us</b></p><p><br>
Established in 1994, our company has provided top-notch automotive reconditioning services for dealerships nationwide. Our team of experts specializes in various services, including detailing, ceramic coating, window tinting, paintless dent repair, and wheel repair. We pride ourselves on our attention to detail and commitment to customer satisfaction. Join our team and be a part of a company with over 25 years of experience in the industry.</p><p><b>
EEOC Guidelines</b></p><p><br>
We will consider all applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We strive to create an inclusive and diverse workplace that includes partners of diverse backgrounds and experiences. As a result, we are able to better meet our mission and values while serving our customers across the country. Applicants with criminal histories will be considered for employment in accordance with all federal, state, and local laws and ordinances.</p><p><b><br>
Background Checks and Drug Testing for Hired Candidates</b></p><p><br>
Hired candidates may be subject to background checks and drug testing as a condition of employment. These checks are conducted to maintain a safe and secure work environment for all employees and to comply with company policies and legal requirements. By applying for this position, you acknowledge and consent to these testing procedures if a job offer is extended.</p></div>

Area Operations Manager 50192

Client of The Roy Chowdhurys LLC

<div>
<div>
 <div>
 <div>
 <div><b>Required Qualifications</b></div>
 <div>Bachelor's Degree with AAPC's CPC or AHIMA's CCA or CCS</div>
 <div><b>Job Description</b></div>
 <div> <strong>INSURANCE MANAGER</strong>(RCM) <br><strong>For a Leading Multispeciality Clinic</strong> <br> <strong>Dubai |Job-Code   TRC-647</strong> <br> <br>Our client is a Leading, Multinational Chain of Healthcare Services Providers, for their multi-speciality clinic, located in Karama, Dubai, UAE, are looking for an RCM Manager to join immediately . <br> <br>
<ul>
<li> <strong>Designation    : Medical Insurance Manager </strong> </li>
<li> <strong>Experience     : Minimum 2-3 years in Dubai, similar capacity</strong> </li>
</ul>
<br> <strong>KEY RESPONSIBILITIES</strong>
<ul>
<li> <strong>Liaison &amp; Relationship Management    :</strong> Act as the main point of contact for insurance companies, third-party administrators (TPAs), and brokers. </li>
<li> <strong>Contract Negotiation </strong>           : Negotiate terms and manage contracts with insurance providers to ensure favorable agreements and efficient operations. </li>
<li> <strong>Claims Management     </strong>       : Oversee the entire claims process, ensuring timely and accurate submissions and resolutions. </li>
<li> <strong>Regulatory Compliance       </strong>     : Ensure the clinic's operations and insurance processes comply with Dubai Health Authority (DHA) regulations and other relevant insurance laws in the UAE. </li>
<li> <strong>Process Improvement </strong>           : Lead initiatives to enhance efficiency and reduce turnaround times in insurance operations. </li>
<li> <strong>Risk Assessment &amp; Loss Prevention </strong>   : Support initiatives to manage risks and prevent losses within the clinic. </li>
<li> <strong>Financial Oversight   </strong>         : Monitor premium tracking, support revenue forecasting, and manage insurance collections. </li>
</ul>
<strong> <br>REQUIRED SKILLS &amp; QUALIFICATIONS</strong> <br> <br>
<ul>
<li> <strong>Education </strong>               : A bachelor s degree in insurance, business administration, or a related medical field is typically required. </li>
<li> <strong>Experience   </strong>             : Several years of experience in a healthcare insurance management role, specifically within the UAE or Dubai healthcare ecosystem, is essential. </li>
<li> <strong>Regulatory Knowledge   </strong>         :  In-depth understanding of the UAE's healthcare and insurance regulations, especially those from the DHA. </li>
<li> <strong>Technical Proficiency </strong>           : Proficiency in insurance management software and other relevant technological applications, including Microsoft Office. </li>
<li> <strong>Soft Skills       </strong>         : Strong analytical, negotiation, communication, and leadership skills are crucial.</li></ul></div></div></div></div></div>

Insurance Manager (RCM)

Search 10000+ Insurance operations manager jobs near you this October. New roles added regularly across leading industries. Apply today.