Purpose

Responsible for the oversight of claims handling within a specific claim unit to ensure accuracy and consistency in the assignment of the claim process

Essential Duties & Responsibilities

Responsible for management of day-to-day operations within a specific claims unit

Provides training and direction to claim representatives; Coaches and develops direct reports

Maintains performance metrics for supervised staff

Ensures accuracy and consistency in the assignment of the claims process

Completes process and holistic audits

Evaluates files for settlement authority

Oversees and direct claims according to organizational standards, procedures and guidelines

Ensures the unit's work is completed accurately and in full compliance with all state statutes and regulations

Qualifications and Education Requirements

4-year degree or equivalent experience

3 - 5 years claims management experience required

Preferred Skills

Knowledge of applicable industry regulatory requirements

Ability to read, analyze and interpret general business periodicals, technical journals/procedures, and financial reports and data

Ability to write reports, business correspondene, and procedures

Ability to effectively present information and respond to questions from management, employees, clients, customers, and the general public

Ability to define problems, collects data, establish facts, and draw valid conclusions

Ability to interpret an extensive variety of financial, legal and technial information

Possess strong analytical and negotiation abilities

Ability to work independently, think creatively and exercise strong, sound judgment

Demonstrated strong interpersonal and communication skills, both verbal and written

Possess strong orientation to customer service

Possess good organizational and time management skills

Ability to process high volumes of work while meeting deadlines

Strong technical aptitude in regards to software applications such as the Microsoft Office Excel, Word, Outlook, and PowerPoint

Other Duties

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.