Manager - Claims Operations

Job Description

• Bachelors Degree (or equivalent in directly related experience)
• Minimum of five (5) years progressive medical and/or disability management experience is required. Five (5) years cumulative experience in a supervisory, management or related role of a medium to large sized group of team members is preferred.
• owledge of associated/relative departments' rules & regulations are required. Familiarity with ERISA rules & regulations is required. Effective written & oral communications skills are essential. Effective interpersonal skills are essential. Ability to handle multiple tasks, exhibit flexibility, meet deadlines through appropriate prioritization & decision-making skills is essential.
  
  

Responsibilities

• Selects, trains, develops and motivates qualified individuals for supervisory positions. Through this direct staff, ensures the productivity and motivation of all other support staff in the unit.
• Sets, implements and communicates performance standards and objectives to ensure all team members have a clear understanding of unit goals, objectives, expectations and service standards of respective business unit.
• Conducts performance appraisals for direct staff and oversees the appraisal process for the unit. Approves salary adjustments, promotions, transfers and dismissals to ensure the highest levels of productivity and quality.
• Interprets, implements and administers corporate policies and procedures for the unit to ensure compliance.
• Oversees unit operations and staff and when necessary, makes recommendations or changes in methods, procedures, structure, or personnel to ensure optimum utilization of resources.
• Directs the identification and evaluation of system enhancements and new technology to increase the efficiency, productivity, and competitiveness of the unit. Directs unit supervisors in system and procedure changes to accommodate new client or Branch Claims Office needs.
• Acts as a liaison between client, Branch Claims Office and/or vendor and business unit by assisting with difficult or complex issues.
• Keeps Department Director informed of activities and problems within unit by written and verbal communication; refers items beyond authority level for direction.
• Evaluates and interprets relevant industry information, regulations and practices to ensure unit is operating at a competitive level.
• Provides assistance by answering Request for Proposal questions.
• Meets with new clients to obtain requirements and develop conversion/implementation plans to ensure a smooth transition.
• Maintains regular contact with clients to ensure high level of customer satisfaction.
• Facilitates coordination between appropriate internal business units to promote Broadspire Integrated products.
• Assists in the development of short and long term strategic plans that will improve delivery of services.
• Manages the implementation of new accounts and product lines, which include interdepartmental integration and support to meet account goals. Implementation process also includes appropriate supervisory assignment taking into consideration specific account criteria and overall department impact.
• Maintains departmental communications by holding supervisory meetings to disseminate updated departmental information and problem solving and address all departmental and interdepartmental issues as they arise.
• Assist with budget development and ensure budgetary goals are achieved.
• Performs other related duties as required.
  
  

Qualifications

• Bachelors Degree (or equivalent in directly related experience)
• Minimum of five (5) years progressive medical and/or disability management experience is required. Five (5) years cumulative experience in a supervisory, management or related role of a medium to large sized group of team members is preferred.
• Knowledge of associated/relative departments' rules & regulations are required. Familiarity with ERISA rules & regulations is required. Effective written & oral communications skills are essential. Effective interpersonal skills are essential. Ability to handle multiple tasks, exhibit flexibility, meet deadlines through appropriate prioritization & decision-making skills is essential.
  
  

About Us

Why Crawford?

Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com .

When you accept a job with Crawford, you become a part of the One Crawford family.

Our total compensation plans provide each of our employees with far more than just a great salary

• Pay and incentive plans that recognize performance excellence
• Benefit programs that empower financial, physical, and mental wellness
• Training programs that promote continuous learning and career progression while enhancing job performance
• Sustainability programs that give back to the communities in which we live and work
• A culture of respect, collaboration, entrepreneurial spirit and inclusion
  
  

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.