Manager, Claims Operations – PLADS Integrated Claims

Role Overview

• Manages the daily operations of the Claims business unit
• Manages employees and operations of the business unit at the functional level
• Gathers and analyzes data and reports that pertain to the overall operation of the Claims business unit
• Completes reports summarizing activities and trends
• Assists in strategic and tactical operational plans to ensure achievement of company and departmental goals
• Performs independent review of problem situations
• Develops solutions and implements actions to resolve problems and ensure customer satisfaction
• Reviews processes and procedures to streamline activities to enhance service turnaround time, productivity, and quality
• Coordinates overall workflow of the business unit
• Ensures that workflow processes facilitate effective and efficient use of corporate resources and enhance customer satisfaction
• Directs efforts to implement risk management and quality improvement initiatives
• Facilitates calibration sessions
• Uses methods such as work process studies, statistical analysis, and assessments of production area performance to establish adherence to quality standards/scorecards
• Remains abreast of industry trends and technology changes
• Incorporates best practices in the development of quality standards, policies, programs, and system changes for the department
• Coordinates and monitors training efforts to ensure that necessary education tools are provided to employees
• Identifies and communicates training needs and schedules with training department
• Takes a leadership role in managing assigned initiatives
• Monitors and controls operating expenses to ensure that corporate/divisional financial goals are met
• Performs other related duties as required

Requirements

• Bachelor's Degree In business or a related field
• 6 years of job-related work experience
• 4 years in a leadership/senior/supervisory capacity
• Absence & Disability Industry Experience (STD/FMLA)
• Industry designations such as FLMI or ALHC.
• Strong personal computer skills with experience in Windows-based software
• Excellent presentation, oral, written, and interpersonal communications skills

Benefits

• medical, dental, and vision coverage
• prescription drug coverage
• health care flexible spending
• dependent care flexible spending
• Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee)
• 401(k) plans
• annual bonuses
• opportunity to purchase company stock
• 11 paid holidays
• up to 20 days PTO to be used for any reason