What are the responsibilities and job description for the Claims Payment Processing Manager position at Florida Peninsula Insurance Company?
At Windward Risk your leadership and expertise in claims payment processing will truly matter. At Windward Risk Managers, we’re investing in modern systems and people-first leadership. As Claims Payment Processing Manager, you’ll guide a growing team, shape process improvements, and collaborate across departments to enhance how we serve our clients.
Summary of responsibilities
- Work with existing team management to supervise, train, and develop a team of claims payment processors to ensure high performance and adherence to standard procedures.
- Manage and monitor the entire claims payment process, from initial submission to final payment, ensuring accuracy and timeliness.
- Enforce company policies regarding claims payment disbursement.
- Manage multiple payment channels, including both electronic payments and payments by check.
- Develop procedures for electronic claim payment handling. Work with a broad, cross-department team to implement an electronic claim payment platform.
- Serve as an escalation point for complex or high-value claim payments and resolve disputes with internal and external parties.
- Analyze claims data to identify trends, enhance workflows, and implement process improvements to increase efficiency and reduce costs.
- Act as a liaison with other departments (such as Claims, IT, and Customer Service) and external stakeholders (such as attorneys or vendors) to ensure effective coordination.
Qualifications
Required skills and qualifications
- A bachelor's degree in a relevant field such as Business, Finance, or Accounting.
- Experience: Several years of experience (5 ) in payment processing or a related field, with a demonstrated track record of supervisory experience.
- Strong knowledge of claims payment processing workflows, regulatory requirements, and experience with electronic claims payment systems.
- Proven ability to lead, mentor, and motivate a team to achieve departmental goals.
- Ability to work with multiple source systems and understand how such systems integrate.
- Excellent analytical and problem-solving skills to interpret data, identify issues, and implement effective solutions.
- Exceptional written and verbal communication skills to interact with staff, management, and internal and external partners.
- Strong attention to detail and ability to maintain organization in a fast-paced, high-volume environment.
