Claims Operations Manager

MedPro Group • Fort Wayne, IN

7d

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 claims support staff. The manager will also coordinate with IT for systems-related issues, investigate stakeholder issues, and serve as a liaison on various committees. Additionally, the role includes auditing team work for accuracy and timeliness, and providing administrative and management support.

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