Hybrid-Remote FEP Claims Operations Manager

Habitat For Humanity Of Durham; United States; Hybrid; USD 108,000 - 173,000; Full time

Job summary

Habitat For Humanity Of Durham seeks a senior FEP Manager, Claims to drive end-to-end claims processing, refunds, and recovery across lines of business. You will lead performance targets, collaborate with stakeholders, and ensure accurate financial reporting to support the Finance Division.

Responsibilities include managing a claims operations team, resolving complex appeals, and improving processes with a focus on quality and customer satisfaction.

Qualifications

• Bachelor's degree or advanced degree is required or higher.
• 8+ years of experience in a related field are required; 10+ years if no degree.

Responsibilities

• Streamline processing to reduce management by exception.
• Set processes to address market trends and demand.
• Oversee financial data gathering, analysis and reconciliation for compliance.
• Research and resolve banking issues.
• Lead projects to improve claims processing, recovery and accounting.
• Manage refunds and collections.
• Lead staff and drive workload to maintain high utilization.
• Resolve complex claims appeals with stakeholders.
• Collaborate with Audit and Payment Integrity for quality.
• Design tools and processes to improve customer satisfaction.
• Negotiate performance guarantees and RFPS with Sales.
• Provide data, reports, and analytics as SME.

Skills

Claims processing

Financial reconciliation

Leadership

Project management

Education

Bachelor's degree or advanced degree

8+ years of experience in related field

Job description

Habitat For Humanity Of Durham seeks a senior FEP Manager, Claims to drive end-to-end claims processing, refunds, and recovery across lines of business. You will lead performance targets, collaborate with stakeholders, and ensure accurate financial reporting to support the Finance Division.

Responsibilities include managing a claims operations team, resolving complex appeals, and improving processes with a focus on quality and customer satisfaction.