Claims Manager

Philadelphia, PA

Post Date: 08/02/2018 Job ID: 2529

PRIMARY PURPOSE:  To managed the technical and operational functions within assigned office(s) including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to be responsible for staffing and training needs; and to be responsible for budget preparation and profit and loss management. Has direct responsibility for 25-49 colleagues. 
ESSENTIAL FUNCTIONS and RESPONSIBILITIES: 

  • Responsible for overall operational management for assigned locations/offices 
  • Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements 
  • Establishes business plan with goal and objectives for the partnership and assigned locations/offices 
  • Monitors management reports relating to the partnership/office performance 
  • Assists with the coordination of sales and client service efforts 


ADDITIONAL FUNCTIONS and RESPONSIBILITIES: 

  • Performs other duties as assigned 
  • Supports the organization's quality program(s) 
  • Travels as required 


SUPERVISORY RESPONSIBILITIES: 

  • Administers company personnel policies in all areas and follows company staffing standards and training recommendations. 
  • Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. 
  • Provides support, guidance, leadership and motivation to promote maximum performance. 


WORK ENVIRONMENT: When applicable and appropriate, consideration will be given to reasonable accommodations. 




Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines 




Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking 




NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. 

SKILLS & KNOWLEDGE
  • 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 

EXPERIENCE: 

Eight (8) years claims management experience including two (2) years supervisory experience or equivalent combination of experience and education required.


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