Assistant Branch Manager at Byline Bank supporting fast - paced customer - centric environment. Overseeing operations, providing team leadership, and ensuring customer satisfaction at branch.
About the role
- Manager of Claims leading the Commercial Claims Operations Team in delivering high-level claims processing. Collaborates with various stakeholders to meet performance and process targets.
Responsibilities
- Manage accounting and financial reporting functions in support of the Finance Division including overseeing the gathering, preparation, analysis, and reconciliation of financial data to ensure compliance with accepted accounting principles and standards.
- Participate in projects to improve and/or facilitate claims processing, recovery, and accounting functions.
- Manage financial recovery activities including refunds and collections
- Manage team leads and staff by efficiently driving work volume to keep high level of utilization and engagement in the group
- Resolve complex claims appeal by coordinating with different stakeholders for certain high value claims
- Collaborate with Audit and Payment Integrity to sustain a pre-determined level of accuracy and quality
- Negotiate Claims ASO performance guarantees, reviews, approvals, and client RFPS in collaboration with Sales organization
- Represent Claims Operations on monthly Performance Guarantee Oversight and bi-weekly Sales & Service Operations leadership calls providing status updates, data, reports, analytics, and expertise routinely and on demand.
Requirements
- Bachelor's degree or advanced degree (where required)
- 8+ years of experience in related field
- In lieu of degree, 10+ years of experience in related field
- Background in commercial medical claims and recovery operations, with prior experience in a health plan or payer organization
- Proven ability to lead, influence, and collaborate across multiple functions and stakeholder groups
- Strong analytical skills with the ability to drive change and manage operations – highly preferred
- Ability to ensure risks associated with business activities are effectively identified, measured, monitored and controlled within accordance with compliance policies and procedures – highly preferred
- Six Sigma or Lean Management training/certifications - preferred
Benefits
- Medical, dental, and vision coverage along with numerous health and wellness programs
- Parental leave and support plus adoption and surrogacy assistance
- Career development programs and tuition reimbursement for continued education
- 401k match including an annual company contribution
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