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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims management, compliance with industry standards, and effective leadership in staffing and training. Proven ability to oversee operational functions, manage budgets, and ensure quality service delivery.
Highest-signal resume keywords
Claims Management ExperienceSupervisory ExperienceBudget PreparationExcellent Communication SkillsLeadership Skills
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 ManagementBudget ManagementQuality AssuranceAnalytical SkillsPerformance Competencies
Soft Skills
Interpersonal SkillsNegotiation SkillsOrganizational SkillsTeam CollaborationMotivational Skills
Tools & Technologies
Microsoft Office
Certifications & Qualifications
Professional Certifications
Industry Keywords
ComplianceInternal ControlsAudit RequirementsService Agreement RequirementsDisability Plan Documents
About the role
Key responsibilities & impact- Oversee technical and operational functions, including compliance with company standards and industry best practices
- Ensure consistent delivery of quality services
- Oversee staffing and training needs
- Oversee budget preparation and profit and loss management
- Oversee the internal quality review process and report monthly
- Assure compliance with client internal controls, audit requirements, and service agreement requirements
- Establish business plans with goals and objectives for assigned clients
- Ensure claims management policies and procedures are followed to meet service standards, state statutes/regulations, disability plan documents, industry best practices, and client service requirements
- Establish and maintain client contacts
- Support the organization's quality programs
- 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
- Perform other duties as assigned
- Travel as required
Requirements
What you’ll need- Bachelor's degree from an accredited college or university preferred
- Licenses as required
- Professional certifications appropriate to line of business preferred
- Eight (8) years claims management experience or equivalent combination of education and experience required
- Two (2) years supervisory experience
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Leadership/management/motivational skills
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
- Ability to handle multiple priorities simultaneously and meet deadlines
- Ability to travel as required
Benefits
Comp & perks- Work-life balance
- Reasonable accommodations when applicable and appropriate
- Equal Opportunity Employer
- Drug-Free Workplace
- Diversity, equity, and inclusion commitment