Supplemental Health Claims Manager

American Fidelity; Oklahoma City (OK); Sur place; USD 110 000 - 150 000; Plein temps

Résumé du poste

American Fidelity in Oklahoma City seeks a senior leader to direct disability, absence management and supplemental medical claims processing. You will oversee multiple teams, set goals, monitor performance, and ensure compliant, timely claim handling.

You will partner with Directors and legal advisors to resolve complex issues, drive process improvements, and mentor supervisors to elevate service quality and efficiency.

Qualifications

• Minimum 6 years in leadership/management position.
• Minimum 7-10 years in insurance-related position with 4 years minimum fife claims experience.
• Industry knowledge including domestic and international markets.
• Strong oral and written communications skills, including interpersonal and consultative abilities.
• Strong leadership and ability to optimize department procedures.
• Diplomacy and decision making capabilities.
• Proficiency with Windows-based software, including Microsoft Office.
• Ability to adapt to new software/technology and work in a paperless environment.

Responsabilités

• Direct and oversee a team of leaders responsible for Disability, Absence Management and Supplemental Medical claim processing.
• Work with leadership to set and manage goals and performance expectations for accurate, fair service and timely claims processing.
• Assist Director with resolving complex claim issues and coordination with legal representatives to defend lawsuits and minimize litigation.

Connaissances

Leadership

Communication

Analytical ability

Case management

Diplomacy

Decision making

Microsoft Office

Adaptability

Interpersonal skills

Industry knowledge

Outils

Microsoft Office

Description du poste

• Direct and oversee a team, or teams, of highly skilled leaders and/or Colleagues who are responsible for Disability, Absence Management and/or Supplemental Medical claim processing. Work with Supervisors, highly skilled Colleagues and other departmental or divisional leadership to set and manage goals and performance expectations which support accurate, fair service and the timely claim processing which comply with state and federal regulations. Assist Director with resolving the most complex claim issues and/or working with internal and external legal representatives to provide direction and support in defense of lawsuits and to help keep litigation to a minimum.
• Actively manage staff and plans for the appropriate allocation and use of resources; analyze past workloads to determine future needs and identify service trends which may detract from providing quality service to the Customer. Develop Supervisors and Colleagues within area of responsibility, giving appropriate feedback on performance to ensure strengths are reinforced and areas needing improvement are appropriately addressed. Hold Supervisors accountable for Colleague development within their area of responsibility.
• Demonstrate advanced judgement and collaborate with other leaders to leverage past experience to develop standardized processes and procedures which focus on advancing the service provided. Work with others to identify deficiencies and areas of improvement. Act as a mentor and motivate Colleagues to provide superior service. Lead department or division improvement initiatives which result in improved processes, procedures and systems which support a positive Customer experience.

Skills & expiercne

• Minimum 6 years in leadership/management position
• Minimum 7-10 years in insurance-related position with 4 years minimum fife claims experience
• Company and industry knowledge required, including domestic and international markets
• Strong oral and written communications skills, including outstanding interpersonal and consultative skills
• Strong leadership skills, excelling in analyzing and adjusting organization and department procedures for maximum efficiency
• Diplomacy and decision making capabilities
• Proven analytical ability and case management claim skills
• Proficient with PC Windows-based software, including Microsoft Office
• Easily adapts to new software/technology applications and is able to excel in a paperless environment