What are the responsibilities and job description for the Claims Operations Manager position at MedPro Group?
Meet MedPro Group. We’re an industry-leading Berkshire Hathaway insurance company with a passion for our clients and our team. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it their mission to serve and care for others. Never considered the insurance industry before? We think you should.
In this role, you will…
MedPro Group’s mission is built on a century-old legacy of protecting those who protect others. From our roots in our hometown of Fort Wayne, Indiana, we've worked diligently to become the nation's premier healthcare liability coverage provider, currently insuring more than 300,000 customers. With that growth, we've built a significant presence in all 50 states. Our team works across the country to provide the best strategies to mitigate risk and preserve the reputations of those who have entrusted their good name to us. That passion – built on a foundation of a culture that values uncompromised integrity, obsessive client focus, great teamwork, and a long-term mindset – make MedPro a preferred employer that many call their career home.
General:
MedPro Group is an Equal Opportunity Employer.
In this role, you will…
- Manage claims policy and coverage questions.
- Update the Oasis claims system as necessary.
- Support and mentor assigned Claims support staff.
- Coordinate with IT for systems-related issues, including effecting changes to existing systems, as well as assisting in the design and implementation of new systems.
- Investigate stakeholder issues, identify root causes, and create procedures to handle them.
- Serve as Claims Function liaison on various committees as assigned.
- Audit assigned team’s work to ensure accurate, timely delivery of service to stakeholders.
- Provide full range of administrative office and management support.
- Perform other duties as assigned.
- Bachelor's degree highly preferred, or equivalent insurance experience.
- Minimum 5-7 years relevant management experience, ideally in healthcare professional liability.
- Outstanding negotiation and influencing skills.
- High degree of experience in claims adjudication and coverage evaluation.
- Strong analytical, decision-making and strategic-thinking skills with proven ability to initiate positive change.
- Excellent interpersonal/teamwork and customer service skills.
- Proven oral and written communication skills
- Proven time management and organizational skills.
- High proficiency level with office support tools and operating syestems (i.e. CRM, Microsoft Office suite, etc.)
MedPro Group’s mission is built on a century-old legacy of protecting those who protect others. From our roots in our hometown of Fort Wayne, Indiana, we've worked diligently to become the nation's premier healthcare liability coverage provider, currently insuring more than 300,000 customers. With that growth, we've built a significant presence in all 50 states. Our team works across the country to provide the best strategies to mitigate risk and preserve the reputations of those who have entrusted their good name to us. That passion – built on a foundation of a culture that values uncompromised integrity, obsessive client focus, great teamwork, and a long-term mindset – make MedPro a preferred employer that many call their career home.
General:
MedPro Group is an Equal Opportunity Employer.