Manager - Claims Operations

* Bachelors Degree (or equivalent in directly related experience)


* Minimum of five (5) years progressive medical and/or disability management experience is required.

Five (5) years cumulative experience in a supervisory, management or related role of a medium to large sized group of team members is preferred.


* owledge of associated/relative departments' rules & regulations are required.

Familiarity with ERISA rules & regulations is required.

Effective written & oral communications skills are essential.

Effective interpersonal skills are essential.

Ability to handle multiple tasks, exhibit flexibility, meet deadlines through appropriate prioritization & decision-making skills is essential.



* Bachelors Degree (or equivalent in directly related experience)


* Minimum of five (5) years progressive medical and/or disability management experience is required.

Five (5) years cumulative experience in a supervisory, management or related role of a medium to large sized group of team members is preferred.


* Knowledge of associated/relative departments' rules & regulations are required.

Familiarity with ERISA rules & regulations is required.

Effective written & oral communications skills are essential.

Effective interpersonal skills are essential.

Ability to handle multiple tasks, exhibit flexibility, meet deadlines through appropriate prioritization & decision-making skills is essential.

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* Selects, trains, develops and motivates qualified individuals for supervisory positions.

Through this direct staff, ensures the productivity and motivation of all other support staff in the unit.


* Sets, implements and communicates performance standards and objectives to ensure all team members have a clear understanding of unit goals, objectives, expectations and service standards of respective business unit.


* Conducts performance appraisals for direct staff and oversees the appraisal process for the unit.

Approves salary adjustments, promotions, transfers and dismissals to ensure the highest levels of productivity and quality.


* Interprets, implements and administers corporate policies and procedures for the unit to ensure compliance.


* Oversees unit operations and staff and when necessary, makes recommendations or changes in methods, procedures, structure, or personnel to ensure optimum utilization of resources.


* Directs the identification and evaluation of system enhancements and new technology to increase the efficiency, productivity, and competitiveness of the unit.

Directs unit supervisors in system and procedure changes to accommodate new client or Branch Claims Office needs.


* Acts as a liaison between client, Branch Claims Office and/or vendor and business unit by assisting with difficult or complex issues.


* Keeps Department Director informed of activities and problems within unit by written and verbal communication; refers items beyond authority level for direction.


* Evalua...