Claims Payable Manager

******This position has 1-day work from home after the completion of training******

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.

Position Summary:

The Claims Payment Processing Manager is responsible for overseeing the daily operations of a claims payment processing department to ensure claims are paid efficiently, accurately, and in compliance with company and regulatory guidelines. This role involves managing a team of claims payment processors, resolving complex issues, and implementing strategies to improve departmental performance.

Essential Functions:

• 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.

Required Education and Experience:

• 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.

Essential Skills:

• 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.
   

Due to current business and operational considerations, we currently hire employees residing in the following states at this time: AL, AR, CA, CT, FL, GA, KY, MO, NC, NV, OH, SC, TN, TX, VA, and WI.

Candidates must be authorized to work for any employer in the U.S. without requiring visa sponsorship now or in the future.

WRM is committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, or veteran status. We take affirmative action to ensure that all employment decisions are based on merit, qualifications, and abilities.

Notice to Third Party Agencies: WRM does not accept unsolicited resumes from third party recruiting firms. Absent a signed Service Agreement by WRM’s Human Resources Department, WRM reserves the right to pursue and hire these candidates without financial obligation to recruiters or agencies.

Salary : $90,000 - $110,000