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Job Description:

Job Summary:

The Claims Operations Lead provides supervision and advanced claims processing skills for our claims operations team. The incumbent provides administrative support to facilitate the processing of a wide ranges of claims. The Claims Operations Lead will help prioritize work and ensure the team meets required service level agreements.

Essential Job Responsibilities

• Serves as an initial escalation point of contact for team members who need assistance in performing work. Also will help train new team members on claims analysis work.

• Processes claims and other document types by using case-specific procedures to verify the accuracy of claims and supporting documentation verifying that the information provided meets the criteria set forth in the case-specific settlement agreement.

• Responds to email using the case-specific script provided by Case Team.

• Summarize case and claims status, identify issues and provide corrective action.

• Audit claims processing for accuracy.

Qualifications & Characteristics

• GED or High School Diploma

• 3 years in claims analysis work

• Previous leadership experience

• Basic leadership skills and ability to communicate effectively to different audiences as needed

• Proficiency with Microsoft Office Suite

• Communication: asks questions; confirms understanding with the audience; learns and adopts best practices for written word exchanges with claimants

• Problem Solving: seeks resolution despite roadblocks; identifies alternative routes to the goal

• Critical Thinking: switches perspectives when considering solutions, to identify gaps and optimize results

• Navigates Ambiguity: works through the unknown strategically

• Organization: tracks a variety of assignments by priority, and quickly switches between tasks

• Troubleshooting: leverages systems and tools knowledge to locate and repair root causes for error

• Data Interpretation: accurately assesses claim data to drive the highest level of claimant service

• Proprietary Software: understands the underlying structure of databases and other common tools for business administration, and learns new tools rapidly

• Vision: continuously conceives of and aspires toward long-term change, while effectively executing short-term goals

Your specific salary will be determined based on several factors:

• Location-based market rate for the role

• Your abilities in relation to the job specification

• Performance during screening and interview

• Pay parity with the wider team in the considered location

Further details about the package will be provided during the initial screening call with the Talent Acquisition Team.

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

It is Epiq’s policy to comply with all applicable equal employment opportunity laws by making all employment decisions without unlawful regard or consideration of any individual’s race, religion, ethnicity, color, sex, sexual orientation, gender identity or expressions, transgender status, sexual and other reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status or any other basis protected by applicable national, federal, state, provincial or local law. Epiq’s policy prohibits unlawful discrimination based on any of these impermissible bases, as well as any bases or grounds protected by applicable law in each jurisdiction. In addition Epiq will take affirmative action for minorities, women, covered veterans and individuals with disabilities. If you need assistance or an accommodation during the application process because of a disability, it is available upon request. Epiq is pleased to provide such assistance and no applicant will be penalized as a result of such a request. Pursuant to relevant law, where applicable, Epiq will consider for employment qualified applicants with arrest and conviction records.