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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong leadership and organizational skills to effectively manage a team of Claim Analysts while ensuring client and corporate commitments are met. Proficient in claim processing, problem resolution, and adapting to various systems, with a focus on continuous process improvement.
Highest-signal resume keywords
Claim Processing ExperienceLeadership SkillsExcellent Communication SkillsProblem ResolutionMS Excel/Word Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim ProcessingDocument AnalysisSummary Plan Descriptions (SPDs)Process ImprovementTeam Management
Soft Skills
Interpersonal SkillsOrganizational SkillsSelf-Directed Work EthicCollaboration
Certifications & Qualifications
High School DiplomaGED Equivalent
Industry Keywords
Self-Funded InsuranceBenefitsTPA Experience
About the role
Key responsibilities & impact- Supervise and manage a team of Claim Analysts day to day
- Enable the team to meet client and corporate commitments
- Achieve team quality, production and service expectations
- Develop staff
- Successfully implement new clients into the Unit
- Retain existing clients
- Answer complex or difficult claim questions
- Work collaboratively with the department manager to ensure department goals are met
Requirements
What you’ll need- High School Diploma or GED equivalent
- 3 – 5 years claim processing experience
- Self-directed individual who works well with minimal supervision
- Excellent verbal and written communication skills
- Strong leadership, organizational and interpersonal skills
- Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
- Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
- Ability to effectively deal with problems in varying situations and reach resolution
- Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)
- Flexible; open to continued process improvement
- Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word
- Preferred: Bachelor’s degree
- Preferred: Previous supervisory or management experience
- Preferred: Self-Funded Insurance/Benefits and/or TPA experience
Benefits
Comp & perks- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- Paid time off
- Paid parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- Paid holidays
- Tuition reimbursement
- Other incentives
- Annual incentive bonus plan subject to the terms and conditions of the plan