Senior Manager, Claims - CFHP

Job Description \n \n \n POSITION SUMMARY/RESPONSIBILITIES \n Manages and directs the activities of analysts, auditors, claims processors and other claims support staff as assigned. Researches and resolves escalated provider issues initiated by claim processors. Provides written and telephonic resolutions to external customer issues (with both providers and members) in accordance with the health plan’s policies and procedures. Develops claim procedure improvement methodology(s), directions and …