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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong leadership and management capabilities, with a focus on quality assurance, performance metrics, and team development. Proficient in claims management and skilled in providing technical direction and training to enhance operational efficiency.
Highest-signal resume keywords
Claims Management ExperienceQuality Assurance ProceduresLeadership/Motivational SkillsAnalytical and Interpretive SkillsMicrosoft Office 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
Claims ManagementQuality AssurancePerformance Metrics ReportingAuditingStaffing ManagementTraining and DevelopmentSoftware SpecificationsProject ManagementData AnalysisPerformance Competencies
Soft Skills
Oral and Written CommunicationOrganizational SkillsTime ManagementGood JudgmentTeam Collaboration
Certifications & Qualifications
Bachelor's Degree
Industry Keywords
Operations Support ServicesQuality ProgramsNon-Compliance TrackingPerformance Development PlansColleague Performance Discussions
About the role
Key responsibilities & impact- Supervise Operations Support Services staff and processes
- Monitor colleagues' workloads
- Provide training and monitor individual transactions
- Provide technical direction on work processes
- Define and establish quality assurance procedures, standards, metrics reporting, and auditing
- Train the OSS team on tasks and responsibilities
- Review quality data, conduct audits, track quality metrics, and report findings
- Track non-compliance issues through resolution
- Manage staffing schedules to ensure appropriate department coverage
- Perform other duties as assigned
- Support the organization's quality programs
- Travel as required
- Administer company personnel policies and follow staffing standards and training recommendations
- Interview, hire, and establish colleague performance development plans
- Conduct colleague performance discussions
- Provide support, guidance, leadership, and motivation to promote maximum performance
Requirements
What you’ll need- Bachelor's degree from an accredited college or university preferred
- Six (6) years of related experience or equivalent combination of education and experience required
- Two (2) years of claims management experience required
- Some proven software specifications experience required
- Supervisory experience preferred
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Leadership/management/motivational skills
- Excellent analytical and interpretive skills
- Strong organizational skills
- Strong time management skills
- Good judgment and discretion skills
- Ability to manage multiple projects and set priorities
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
- Ability to travel as required
Benefits
Comp & perks- Work-life balance
- Equal Opportunity Employer
- Drug-Free Workplace
- Reasonable accommodations considered
- Diverse, equitable, and inclusive workplace