Hybrid Lead Operations Specialist, Claims

Posted 2 hours ago

Apply now

About the role

  • Operations Specialist Lead coordinating daily workflow in Claims department. Ensuring compliance and quality assurance while assisting team members with escalated inquiries.

Responsibilities

  • Assists with the coordination of daily workflow in the Claims department.
  • Researches and answers escalated questions or higher-level processes from other team members.
  • Conducts department training and provides quality assurance measures to ensure compliance and regulatory requirements are met.
  • Monitors, evaluates and provides feedback on the quality of work performed by team members.
  • Acts as a liaison between ECMC and service providers concerned in claims processing.
  • Analyzes data and trends related to department performance metrics to make recommendations for improvements.
  • Resolves data inconsistencies or inaccuracies through collaboration with internal customers.
  • Updates department procedures and ensures team members understand them.
  • Works on departmental projects and tracks progress for timely implementation.
  • Ensures compliance with regulations and maintains confidentiality of information regarding performance.

Requirements

  • High school diploma or GED
  • 5+ years of relevant work experience
  • 3+ years of experience in a claims environment or similar business function
  • Intermediate proficiency with mathematical skills and concepts
  • Intermediate proficiency in Microsoft Office suite or Mac Office, specifically with Word and Excel applications.

Benefits

  • Medical, dental, and vision insurance plan options, with a generous employer subsidy.
  • Company paid life & disability insurance, pre-tax flexible spending accounts and robust wellness programs.
  • Generous 401(k) plan with a company match up to 6% and additional discretionary contribution potential.
  • Holiday time off and paid time off accrual starting at 20 days/year.
  • Tuition reimbursement up to $10,500/year for approved programs and student loan payment reimbursement up to $4,800/year.
  • Up to $5,250 of qualifying education benefits can be reimbursed pre-tax.

Job title

Lead Operations Specialist, Claims

Job type

Experience level

Senior

Salary

$27 - $33 per hour

Degree requirement

High School Diploma

Location requirements

Report this job

See something inaccurate? Let us know and we'll update the listing.

Report job