Mgr, PLADS Claims Operations
Job Summary
Manager of a front line claims operational team is responsible for the direct supervision of Case Managers, operational results, and performance of those Case Managers. Also involved in direct customer and sales interaction as it relates to our process and case management.
Principal Duties & Responsibilities
business units
negotiating, processing, and adjusting claims
Education & Experience Required
- Bachelor’s Degree in related field
- 5+ years of claims industry experience
- 5+ years of Supervisory, Managerial, and / or leadership experience in claims
adjudication or customer service
- 2+ years of experience managing relationships with clients and / or vendors
- 2+ years of experience managing budgets, process improvement and quality assurance
- Proficiency within Microsoft Excel (ability to create pivot tables, basic formulas, sorting, and read data)
Or an equivalent combination of education and experience
Education & Experience Preferred
- Operation Excellence (Six Sigma) experience
Job Knowledge & Skills
Competencies
- Acting with Integrity
- Communicating Effectively
- Pursuing Self-Development
- Serving Customers
- Supporting Change
- Supporting Organizational Goals
- Working with Diverse Populations
Leader Competencies
- Acting as a Champion for Change
- Demonstrating Initiative
- Developing Talent
- Managing Performance