Claims Operations Manager

MedPro Group • Fort Wayne, IN

8d

About The Position

MedPro Group, an industry-leading Berkshire Hathaway insurance company, is seeking a Claims Operations Manager. This role involves managing claims policy and coverage questions, updating the Oasis claims system, and supporting/mentoring assigned Claims support staff. The manager will also coordinate with IT for systems-related issues, investigate stakeholder issues to identify root causes and create procedures, and serve as a Claims Function liaison on various committees. Additionally, the role includes auditing the assigned team's work to ensure accurate and timely service delivery, and providing full administrative office and management support. Other duties may be assigned.

Requirements

• Bachelor's degree highly preferred, or equivalent insurance experience.
• Minimum 5-7 years relevant management experience, ideally in healthcare professional liability.
• Outstanding negotiation and influencing skills.
• High degree of experience in claims adjudication and coverage evaluation.
• Strong analytical, decision-making and strategic-thinking skills with proven ability to initiate positive change.
• Excellent interpersonal/teamwork and customer service skills.
• Proven oral and written communication skills
• Proven time management and organizational skills.
• High proficiency level with office support tools and operating systems (i.e. CRM, Microsoft Office suite, etc.)

Responsibilities

• Manage claims policy and coverage questions.
• Update the Oasis claims system as necessary.
• Support and mentor assigned Claims support staff.
• Coordinate with IT for systems-related issues, including effecting changes to existing systems, as well as assisting in the design and implementation of new systems.
• Investigate stakeholder issues, identify root causes, and create procedures to handle them.
• Serve as Claims Function liaison on various committees as assigned.
• Audit assigned team’s work to ensure accurate, timely delivery of service to stakeholders.
• Provide full range of administrative office and management support.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager