- Supervise a team of Employee Benefits claims examiners and may carry an individual case load based on business needs.
- Actively manage work allocation, query resolution and delivery of key SLAs.
- Report key claims handling metrics using dashboards scorecard to evaluate performance and trends and drive process improvements.
- Review work of others via file reviews; identify coaching opportunities and act on needed coaching opportunities.
- Identify performance and behavioral issues and work with staff and management to address and correct them.
- Communicate with stakeholders in a skilled, positive and proactive manner.
- Work collaboratively with all external and internal departments.
- Assist with any new transitions, able to map workflows and create Standard Operating Procedures.
- Ensure compliance to all process essential documents.
Qualifications
Education
- Minimum Required Degree: Bachelor
- Preferred Degree: Bachelor s degree in Insurance or related field
- Certificate(s)/Special Training Insurance industry certifications - AIC, AINS, Cert CII or any other relevant Insurance certification
Experience ( Career Level Guide)
- Minimum 4-6 years of experience in US employee benefits claims
- Minimum 2-3 years of managing team
- Proven track record of successful claim resolutions and customer satisfaction.
- Experience of transitions
Knowledge, Skills and Ability
- Should have sound end to end claims processing knowledge of employee benefits claims
- Excellent interpersonal skills, including listening, verbal and written communication with the ability to communicate effectively
- Negotiation and settlement skills
- Able to build excellent relationships with internal and external customers
- Numerate with the ability to present and analyze data
- Proactive approach
- Problem-solver