Manager Claim Processing
The MH Group LLCHartford, Connecticut, United States
Posted July 24, 2025
Full Time
About the Company
The MH Group LLC specializes in financial and healthcare services, offering commercial lending support, provider network contracting for health insurance organizations, and clinical supervision for opioid treatment clinics. The company assists clients with loan documentation, network negotiations, and clinical operations management to ensure compliance and quality outcomes.
Job Description
The company is seeking a results-driven leader to oversee the operations of its claims processing team. This role will focus on strategic direction, process improvement, and ensuring accurate and timely claim processing. The ideal candidate will analyze KPIs, collaborate with cross-functional teams, and foster a positive team culture.
Requirements
- Oversee daily operations of claims processing department
- Develop and maintain quality control standards
- Provide guidance and support to team members on complex claims
- Analyze KPIs to evaluate productivity and quality
- Collaborate with cross-functional teams to implement process enhancements
- Ensure compliance with laws and regulations
- Manage budget and recommend cost-effective strategies
