Manager/ Senior Manager Non RCM

What is this opportunity?

As a Claim Adjudication Manager you are responsible for overseeing the review and processing of insurance claims to ensure they are accurate, compliant with policy terms, and resolved in a timely manner. This role is common in healthcare, insurance, and third-party administrator. Role Supervise claim adjudication staff to ensure claims are processed efficiently and accurately. Review complex or escalated claims and make final decisions on approvals or denials. Ensure compliance with regulatory …

Opportunity details