Director Claims Management Ancillary Services (CMAS)

Added
10 hours ago
Type
Full time
Salary
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๐Ÿ“‹ Description

  • Lead strategy, performance, and regulatory compliance for CMAS and Plan Documents.
  • Manage Plan Documents Manager and CMAS Manager; ensure accuracy and regulatory adherence of SPDs
  • Oversee claims audit, appeals, escalations, recoveries, subrogation, and NSA functions.
  • Partner with Legal, Compliance, Configuration, and Client Success to translate client needs into
  • Drive adoption of tools (e.g., PDM) to improve accuracy and client experience.
  • Set KPIs and lead workforce planning to balance cost with performance.
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