Hybrid Operations Manager, Claims

Posted 1 hour ago

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About the role

  • Manager of Claims leading operational functions at nonprofit ECMC Group to ensure compliance and efficiency in claims processing. Responsibilities include employee coaching and managing performance metrics.

Responsibilities

  • Provides leadership and oversight of the department functions including timely and accurate adjudication and payment of claims.
  • Responding to servicer and third-party guarantor service client inquiries.
  • Performing quarterly servicing audits on claims paid.
  • Coaching, providing work direction to employees, managing performance and ensuring timely, accurate processing and adherence to procedures, policies and federal regulations.
  • Monitoring workflow between Claims department and other internal/external partners for process flows.
  • Creating and monitoring performance metrics; assessing training needs and overseeing training development and delivery.
  • Ensuring completion of all regulatory reporting and tracking.
  • Streamlining and updating department processes, maintaining compliance and improving claim processing and payments.
  • Managing completion of special projects, including intake, workplan and follow through to completion.

Requirements

  • High School diploma or GED
  • 3+ years of supervisory/leadership experience
  • 5+ years of experience managing an operational or processing function
  • Prior customer service experience relevant to the role
  • Preferred: Post-secondary degree
  • Prior experience working in the student loan or financial services industry
  • Claims management experience.

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.
  • Paid time off accrual starting at 20 days/year and commuter subsidy.
  • 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

Operations Manager, Claims

Job type

Experience level

Mid levelSenior

Salary

$80,000 - $95,000 per year

Degree requirement

High School Diploma

Location requirements

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