Illumifin-posted 11 months ago
REMOTE, MN
1,001-5,000 employees
Insurance Carriers and Related Activities

The position involves leading the strategic and organizational planning for illumifin's Small Block Claims decisions, TPA Policy Administration, and Ongoing Care Management services division. This includes overseeing data entry, processing adjudication, and the ongoing management of open claims, ensuring that claims are closed when insured individuals are no longer eligible for benefits. The role requires ensuring that the Small Block Claims teams meet key metrics such as quality, productivity, and adherence to internal and external SLAs and KPIs. Additionally, the position involves determining proper staffing through effective workforce and process management, participating in the management of services to achieve forecasted contribution margin expectations, and ensuring that onboarding and continued learning objectives are met for new team members. The role also includes assisting in workflow efficiencies, system build and release processes, and participating in customer meetings and presentations.

  • Leads strategic and organizational planning for Small Block Claims decisions and related services.
  • Ensures teams meet key metrics including quality, productivity, and SLAs/KPIs.
  • Determines proper staffing through workforce and process management.
  • Participates in management to achieve forecasted contribution margin expectations.
  • Assures proper onboarding and continued learning for new members.
  • Assists in gaining efficiencies in workflow processing and automation.
  • Takes lead role in system build, release, and prioritization processes.
  • Participates in meetings and presentations to customers and assists in implementation.
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