Kforce has a healthcare client in LA in need of Claims Director. Summary: The Claims Director has overall responsibility and accountability for all aspects of claims operations while effectively and efficiently delivering and enhancingthe claims processing experience. This position is responsible for overseeing the daily claims, including timely and accurate processing of specialty claims for managed care members. The Director will leverage experience and integrate various components of cross-functional business decisions to continuously improve claims' processes and procedures. Additional responsibilities include supervision and training of department staff, compliance with health plan and governmental regulations and standards, coordinating and overseeing health plan audits, and generations of management reports for fiscal and productivity analysis. Responsibilities: * Oversees the claims inventory by setting, evaluating, and monitoring the claims inventory baseline and examiner productivity metrics to ensure the timely and accurate processing of claims in compliance with regulatory requirements and organizational expectations * Participate in various forums, company initiatives, and other internal/external workgroups to support Claims integrity * Directs all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports