1 Quality Manager, Claims Processing jobs

Imagenet, LLC is seeking an experienced Quality Manager, Claims Processing to join our team. In this role, you will be responsible for overseeing the performance and quality of our claims processing department.   Responsibilities: Develop and implement quality assurance policies, procedures, and standards for claims processing. Monitor claims processing metrics such as productivity, accuracy, turnaround times, and customer satisfaction Identify areas for improvement in claims processing and develop solutions Conduct audits on a sample of processed claims to ensure adherence to regulations, guidelines, and quality standards Analyze performance data, identify trends and root causes of defects, and suggest process improvements Coach and mentor claims processing staff on performance, compliance, and career development Create and manage quality assurance training programs for claims staff Track quality standards and report on quality goals and progress to senior management Requirements: Previous claims processing quality management or related field preferred 5+ years of experience in claims processing, including 3+ years in a quality assurance role Expert knowledge of claims processing procedures, quality standards, and regulatory requirements Strong analytical and problem-solving skills Ability to interpret data and generate detailed reports (daily/weekly/monthly) in graphs & presentations Experience developing and conducting quality audits Leadership skills with the ability to influence outcomes and drive change Excellent communication and presentation abilities This is an opportunity to oversee quality for a growing claims processing provider . If you have the required claims processing and quality assurance experience, please apply with your resume.