Manager Claim Processing
Company: The MH Group LLC
Location: Hartford
Posted on: February 16, 2026
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Job Description:
Job Description Job Description Description: Hybrid Opportunity
Position Summary The organization is seeking a results-driven
leader to oversee the day-to-day operations of its claims
processing team. This role is responsible for providing strategic
direction, managing workflows, and ensuring the accurate and timely
processing of medical claims. The ideal candidate will focus on
establishing performance metrics, driving process improvements, and
fostering cross-functional collaboration to enhance operational
efficiency and customer satisfaction. Key Responsibilities Oversee
and manage daily operations of the claims processing department to
ensure timely and accurate claim handling. Develop, implement, and
maintain quality control standards to ensure accuracy, compliance,
and consistency in claims adjudication. Provide guidance and
support to team members on complex and escalated claims issues,
ensuring adherence to policy and regulatory standards. Analyze key
performance indicators (KPIs) to evaluate productivity and quality;
prepare and present performance reports to senior leadership.
Collaborate with cross-functional teams to identify and implement
process enhancements, including automation and system upgrades.
Ensure ongoing compliance with applicable laws, regulations, and
industry best practices related to claims processing. Assist in
budget planning by monitoring department expenses, analyzing
variances, and recommending cost-effective strategies. Foster a
positive and inclusive team culture that supports professional
growth and accountability. Assign tasks and manage workload
distribution to maximize team efficiency and ensure a balanced
workload . Requirements: Required Qualifications 3–5 years of
leadership or management experience Proficiency in Microsoft Word,
Excel, and Office Suite Strong team collaboration and communication
skills Ability to plan, execute, and deliver operational goals
Proven problem-solving and sound decision-making capabilities
Growth mindset with a focus on adaptability, personal development,
and mentoring others
Keywords: The MH Group LLC, Paterson , Manager Claim Processing, Customer Service & Call Center , Hartford, New Jersey
