What are the responsibilities and job description for the Claims Director position at Davies Group Limited?
A company is looking for a Claims Director to adjudicate accident and health medical claims and pharmacy benefits.Key ResponsibilitiesProduce claim reports and findings consistentlyMaintain regular communication with clients and intermediaries for assigned accountsAudit and review managed care and provider excess agreements and health plan contractsRequired QualificationsMinimum of 5 years medical claims experienceKnowledge of first dollar medical and pharmacy claims and claim processing platformsFamiliarity with CMS regulations, Medicare, and Medicaid programsStrong organizational skillsProficient in Microsoft Office, including Word and Excel