Job Description
Job DescriptionWe are looking for an experienced Claims Manager to lead and oversee claims operations within our organization. This role requires a strong background in claims management and team supervision, with a focus on ensuring efficient workflows and high-quality results. Located in Trevose, Pennsylvania, this position offers the opportunity to collaborate with cross-functional teams and drive process improvements.
Responsibilities:
• Lead and manage a team of claims specialists, assigning tasks, monitoring productivity, and providing coaching to ensure optimal performance.
• Evaluate and streamline workflow processes to enhance efficiency and maintain quality standards.
• Address personnel matters including performance evaluations, career development planning, and managing employee relations.
• Conduct root cause analyses and trend reviews to identify and resolve data errors within operational systems.
• Serve as the primary liaison between the claims department and other business units to ensure smooth communication and collaboration.
• Partner with operational teams to refine claims processing workflows and improve overall system efficiency.
• Utilize advanced skills in Microsoft Office tools such as Excel, Word, Access, Visio, and PowerPoint to support reporting and analysis.
• Provide guidance and training to team members, fostering their attention to detail and ensuring alignment with organizational goals.
• Monitor and analyze performance metrics to identify opportunities for improvement and implement corrective actions.• Bachelor’s degree preferred, with a minimum of five years of experience in claims management.
• Proven experience in supervising teams and managing employee performance effectively.
• Strong analytical skills, with the ability to perform root cause analysis and interpret trends.
• Proficiency in Microsoft Office Suite, including Excel, Word, Access, Visio, and PowerPoint.
• Solid understanding of medical claims processes and related workflows.
• Excellent communication skills, with the ability to collaborate across departments and business units.
• Demonstrated ability to manage multiple tasks and prioritize workloads in a fast-paced environment.
• Commitment to fostering a positive and productive team culture.