Claims Operations Lead: Policy, Systems & Service

MedPro Group; Fort Wayne (IN); On-site; USD 90,000 - 120,000; Full time

Job summary

MedPro Group, an industry-leading Berkshire Hathaway insurance company based in Fort Wayne, Indiana, seeks a senior Claims Manager to lead policy and coverage decisions, mentor staff, and coordinate with IT on system improvements. You will audit work, handle stakeholder inquiries, and drive process enhancements across the claims function.

Ideal candidates have 5–7 years of management experience in healthcare professional liability, a bachelor's degree or equivalent experience, and proven

Qualifications

• Bachelor's degree preferred or equivalent insurance experience.
• 5–7 years management experience in healthcare professional liability.
• Outstanding negotiation and influencing skills.
• Strong analytical, decision-making and strategic-thinking abilities.
• Excellent interpersonal, teamwork and customer service skills.
• Proven oral and written communication skills.
• Proven time management and organizational skills.

Responsibilities

• 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.

Skills

Negotiation

Influencing skills

Analytical thinking

Customer service

Time management

Communication skills

Teamwork

Decision-making

CRM experience

Microsoft Office

Education

Bachelor's degree or equivalent insurance experience

Tools

CRM

Microsoft Office

Job description

MedPro Group, an industry-leading Berkshire Hathaway insurance company based in Fort Wayne, Indiana, seeks a senior Claims Manager to lead policy and coverage decisions, mentor staff, and coordinate with IT on system improvements. You will audit work, handle stakeholder inquiries, and drive process enhancements across the claims function.

Ideal candidates have 5–7 years of management experience in healthcare professional liability, a bachelor's degree or equivalent experience, and proven