Regional Claims Leader - Workers' Comp Operations

Blue Cross Blue Shield of Michigan; United States; Remote; USD 100.000 - 158.000; Vollzeit

Zusammenfassung

Blue Cross Blue Shield of Michigan is seeking a senior leader to oversee a regional workers' compensation claims organization, driving claim quality, customer experience, and financial stewardship. This role leads claim professionals and support staff, ensuring regulatory compliance and a culture of accountability.

The position requires multi-jurisdictional workers’ compensation expertise, strong leadership, and the ability to align departmental goals with strategic objectives while traveling as

Qualifikationen

• Bachelor’s degree in a related field.
• Seven (7) years of experience in a claim environment with demonstrated technical experience.
• Three (3) years of supervisory or leadership experience in claims.
• Previous workers’ compensation claim management with multi-jurisdictional experience preferred.
• Bilingual skills preferred.

Aufgaben

• Manages monoline workers' compensation unit of claim professionals and support staff.
• Leads claim team in support of department initiatives and strategies in cost containment, case file handling, customer service and quality.
• Develops unit goals, objectives, processes, procedures and systems.
• Stays abreast of changes in workers’ compensation statutes, case law and rehabilitation advancements.
• Identifies team staffing needs and takes necessary measures to ensure appropriate levels of service.
• Mentors employees and develops career paths with growth opportunities.

Kenntnisse

Leadership

Budget management

People management

Communication skills

Regulatory compliance

Claims management

Multi-jurisdictional experience

Bilingual skills

Ausbildung

Bachelor’s degree in a related field

Jobbeschreibung

Blue Cross Blue Shield of Michigan is seeking a senior leader to oversee a regional workers' compensation claims organization, driving claim quality, customer experience, and financial stewardship. This role leads claim professionals and support staff, ensuring regulatory compliance and a culture of accountability.

The position requires multi-jurisdictional workers’ compensation expertise, strong leadership, and the ability to align departmental goals with strategic objectives while traveling as