Insurance Complaint Analyst Supervisor

Insurance; Columbus (OH); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Medical Coverage

Free Dental, Vision and Basic Life

Paid time off: vacation, personal, and

11 paid holidays per year

Leave: childbirth, adoption, foster

Education and Development

Job summary

Ohio Department of Insurance (ODI) seeks a senior supervisor to oversee a team of insurance complaint analysts handling Medicare-related issues. Strong leadership and communication are vital in a fast-paced environment.

Will coordinate with federal and state partners to ensure compliant resolution. The role requires extensive insurance industry experience, supervisory ability, and a focus on policy development and staff training.

Qualifications

• 10 yrs. exp. in insurance field (regulatory or industry) working with insureds or insurance contracts including compliance with state & federal laws.
• Experience with compliance with state & federal insurance laws, regulations & standards.
• 6 mos. exp. or 6 mos. trg. in operation of personal computer.
• 24 mos. exp. as Insurance Complaint Analyst 3, 67233.

Responsibilities

• Plans, directs & supervises activities within assigned division.
• Supervises & provides training for insurance complaint analysts.
• Reviews full range of complaints regarding Medicare and ensures proper complaint procedures are maintained.
• Analyzes & coordinates multi-divisional complaints.
• Takes appropriate administrative action including referral & coordination with federal agencies, statewide organizations and internal divisions.
• Develops & implements policies & procedures regarding staff development, division workflow & customer service issues.
• Defines division goals & objectives.
• Speaks before small & large groups.
• Develops & coordinates internal training activities.
• Represents department at professional conferences.

Skills

Attention to Detail

Coaching

Critical Thinking

Customer Focus

Confidentiality

Data Analytics

Job description

Job Description - Insurance Complaint Analyst Supervisor (260007K4)

Insurance Complaint Analyst Supervisor ( 260007K4 )

Organization

Insurance

Agency Contact Name and Information

Kim Lowry 614-644-2681

Unposting Date

Ongoing

Work Location

50 W Town St 50 West Town Street Suite 300 Columbus 43215

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation : 40.40

Schedule

Full-time

Union : Exempt from Union

Primary Job Skill

Insurance

Technical Skills : Data Analytics, Insurance, Organizational Development, Program Management

Professional Skills : Attention to Detail, Coaching, Critical Thinking, Customer Focus, Confidentiality

Ohio Department of Insurance 256 subscribers

The Ohio Department of Insurance (ODI) was established in 1872 as an agency charged with overseeing insurance regulations, enforcing statutes mandating consumer protections, educating consumers, and fostering the stability of insurance markets in Ohio.

Today, the mission of the Ohio Department of Insurance is to provide consumer protection through education and fair but vigilant regulation while promoting a stable and competitive environment for insurers.

Ohio Senior Health Insurance Information Program (OSHIIP) Mission Statement:

The mission of OSHIIP is to empower, educate, and assist Medicare-eligible individuals, their families, and caregivers through objective outreach, counseling, and training, to make informed health insurance decisions that optimize access to care and benefits.

Job Description

OSHIIP is seeking a candidate to supervise a team of insurance complaint analysts and to support positive outcomes for complicated Medicare issues. The ideal candidate will have excellent communication skills, strong leadership and supervisory skills, and can remain positive in a fast-paced environment.

Key Responsibilities

• Plans, directs & supervises activities within assigned division
• Supervises & provides training for insurance complaint analysts
• Reviews full range of complaints regarding Medicare and ensures proper complaint procedures are maintained
• Analyzes & coordinates multi-divisional complaints
• Takes appropriate administrative action including referral & coordination with federal agencies, statewide organizations and internal divisions
• Develops & implements policies & procedures regarding staff development, division workflow & customer service issues
• Defines division goals & objectives
• Speaks before small & large groups
• Develops & coordinates internal training activities
• Represents department at professional conferences

Benefits

• Medical Coverage
• Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
• Childbirth, Adoption, and Foster Care leave
• Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)

*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

Qualifications

10 yrs. exp. in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts as specified by the position description & job posting which included responsibility for compliance with state & federal insurance laws, regulations & standards & insurance industry principles & use of statistical analysis; 6 mos. exp. or 6 mos. trg. in operation of personal computer.

-Or 10 courses in insurance; 7 1/2 yrs. exp. in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts as specified by the position description & job posting which included responsibility for compliance with state & federal insurance laws, regulations & standards & insurance industry principles & use of statistical analysis; 6 mos. exp. or 6 mos. trg. in operation of personal computer.

-Or completion of undergraduate core program in insurance, communications, business or liberal arts; 8 yrs. exp. in insurance field (i.e., regulatory or industry) working with insureds or insurance contracts as specified by the position description & job posting which included responsibility for compliance with state & federal insurance laws, regulations & standards & insurance industry principles & use of statistical analysis; 6 mos. exp. or 6 mos. trg. in operation of personal computer.

-Or 24 mos. exp. as Insurance Complaint Analyst 3, 67233.

-Or equivalent of Minimum Class Qualifications For Employment noted above.

Job Skills: Insurance

Eligibility

Applicants must be currently authorized to work in the United States on a full-time basis.

Reasonable Accommodation: ODI does not discriminate on the basis of disability in its hiring or employment practices and complies with the ADA employment regulations. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact the agency Human Resource Offices’ ADA Coordinator, Andrew Skal, by emailing [e-mail] or calling 614-644-3264. Otherwise, you will be given specific instructions on requesting an accommodation if you are invited to participate in a structured interview.

The final candidate selected for the position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration.

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.