Claims Operations Lead

Epiq • Dublin, OH

313d • $16 - $32 • Remote

About The Position

The Claims Operations Lead provides supervision and advanced claims processing skills for our claims operations team. The incumbent provides administrative support to facilitate the processing of a wide ranges of claims. The Claims Operations Lead will help prioritize work and ensure the team meets required service level agreements.

Requirements

• GED or High School Diploma
• 3+ years in claims analysis work
• Previous leadership experience
• Basic leadership skills and ability to communicate effectively to different audiences as needed
• Proficiency with Microsoft Office Suite

Nice To Haves

• Communication: asks questions; confirms understanding with the audience; learns and adopts best practices for written word exchanges with claimants
• Problem Solving: seeks resolution despite roadblocks; identifies alternative routes to the goal
• Critical Thinking: switches perspectives when considering solutions, to identify gaps and optimize results
• Navigates Ambiguity: works through the unknown strategically
• Organization: tracks a variety of assignments by priority, and quickly switches between tasks
• Troubleshooting: leverages systems and tools knowledge to locate and repair root causes for error
• Data Interpretation: accurately assesses claim data to drive the highest level of claimant service
• Proprietary Software: understands the underlying structure of databases and other common tools for business administration, and learns new tools rapidly
• Vision: continuously conceives of and aspires toward long-term change, while effectively executing short-term goals

Responsibilities

• Serves as an initial escalation point of contact for team members who need assistance in performing work.
• Helps train new team members on claims analysis work.
• Processes claims and other document types by using case-specific procedures to verify the accuracy of claims and supporting documentation.
• Responds to email using the case-specific script provided by Case Team.
• Summarizes case and claims status, identifies issues and provides corrective action.
• Audits claims processing for accuracy.

Benefits

• Compensation range of 16.13 - 32.26 USD per hour
• Eligibility for an annual bonus

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Professional, Scientific, and Technical Services
• Education Level: High school or GED