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Elevance HealthFinance Manager
Finance Manager overseeing financial analysis and reporting at Elevance Health. Responsible for cost and budget management within the Government Business Division.
About the role
- Manage a diverse portfolio of complex claims which includes conducting fact, liability and loss investigations and interpreting insurance contracts in an effective and efficient manner
- Evaluate and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with applicable laws, regulations, statutes, best practices and Department of Insurance (DOI) compliance
- Drive the highest level of customer care, responsiveness, and satisfaction when managing assigned claims to deliver superior claim outcomes
- Collaborate with outside representative counsel to formulate litigation strategy ensuring achievement of desired outcome and effective litigation management strategies
- Directs and manage external advisors and vendors including legal service professionals, discovery vendors, data and security experts and consultants.
- Oversee projects and planning surrounding departmental initiatives to achieve strategic objectives
- Analyze, develop and determine appropriate case reserves on all assigned claim files and recommend changes where necessary to ensure actuarial accuracy
- Advise on specific professional liability areas of specialization and coordinates efforts to disseminate information and guide learning and thought leadership in those areas; serve as the subject matter expert
- Represent QBE by participating in and attending industry seminars or authoring articles pertaining to professional liability subjects
- Collaborate with Underwriters to identify, understand and address novel or complex risks to appropriately price and negotiate terms including participation in sales calls and requests for proposals (RFPs)
- Manage relationships with external vendors to deliver accurate, timely, and cost-effective solutions.
- Take ownership for personal development and career planning, and development of required skills, tools, techniques, and technology to continually add value to the organization.
- Manage budgeted resources by anticipating expenditures, accurately forecasting resource needs/costs and properly accounting for expenses to meet requirements and achieve fiscal responsibility.
Requirements
- 8 years relevant experience
- Bachelor's Degree or equivalent combination of education and work experience
- Generate original, innovative solutions to difficult or unusual situations
- Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim
- Financial and business acumen and awareness of financial responsibility
- Quickly change direction when working on multiple projects or issues
- Properly document investigation findings and preserve evidence in accordance with internal and external laws and procedures
- Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
- Assume a methodical approach to a given situation and develop a systematic procedure as a response
- Develop effective negotiation strategies and prepare a plan of action
- Build and capitalize on beneficial internal and external relationships including competitors
- Actively contributes towards continuously improving performance and mentor team with feedback, on-the-job skill enhancement opportunities and career advice
- Manage a diverse and extensive portfolio of management and professional liability claims with varying levels of complexity and activity.
- Collaborate with internal resources to resolve difficult claims situations and drive resolution opportunities with internal and external stakeholders
Benefits
- Hybrid Working – a mix of working from home and in the office
- 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
- Competitive 401(k) program with company match up to 8%
- Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
- Tuition Reimbursement for professional certifications, and continuing education
- Employee Network and Community – QBE actively supports six Employee Networks, and many ways to give back to your community
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