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We are looking for an experienced Claims Manager to lead and oversee claims operations within our organization. This role requires a strong background in claims management and team supervision, with a focus on ensuring efficient workflows and high-quality results. Located in Trevose, Pennsylvania, this position offers the opportunity to collaborate with cross-functional teams and drive process improvements.
Job Responsibility:
Lead and manage a team of claims specialists, assigning tasks, monitoring productivity, and providing coaching to ensure optimal performance
Evaluate and streamline workflow processes to enhance efficiency and maintain quality standards
Address personnel matters including performance evaluations, career development planning, and managing employee relations
Conduct root cause analyses and trend reviews to identify and resolve data errors within operational systems
Serve as the primary liaison between the claims department and other business units to ensure smooth communication and collaboration
Partner with operational teams to refine claims processing workflows and improve overall system efficiency
Utilize advanced skills in Microsoft Office tools such as Excel, Word, Access, Visio, and PowerPoint to support reporting and analysis
Provide guidance and training to team members, fostering their attention to detail and ensuring alignment with organizational goals
Monitor and analyze performance metrics to identify opportunities for improvement and implement corrective actions
Requirements:
Bachelor’s degree preferred
Minimum of five years of experience in claims management
Proven experience in supervising teams and managing employee performance effectively
Strong analytical skills, with the ability to perform root cause analysis and interpret trends
Proficiency in Microsoft Office Suite, including Excel, Word, Access, Visio, and PowerPoint
Solid understanding of medical claims processes and related workflows
Excellent communication skills, with the ability to collaborate across departments and business units
Demonstrated ability to manage multiple tasks and prioritize workloads in a fast-paced environment
Commitment to fostering a positive and productive team culture