Demo

Manager, Small Block Claims

illumifin
Prairie, MN Full Time
POSTED ON 12/22/2024
AVAILABLE BEFORE 2/18/2025
  • Leads the strategic and organizational planning, staff acquisition, performance management and team development for illumifin's Small Block Claims decisions, TPA Policy Administration and Ongoing Care Management services division. This includes data entry, processing adjudication and ongoing management of open claims as well as assuring that claims are closed when insured are no longer eligible for benefits.
  • Ensures that Small Block Claims teams are meeting key metrics including quality, productivity, and internal and external SLAs and KPIs.
  • Determines proper staffing through workforce and process management.
  • Participates in management of Small Block Claims and Ongoing Care Management services to achieve forecasted contribution margin expectations.
  • Assures that proper onboarding and continued learning objectives are met as new members are trained through demonstration of proficiency in decision making skills and ongoing care management skills.
  • Assists in gaining efficiencies in workflow processing inside operating system, including automation and queue management.
  • Takes a lead role in the system build, release, and prioritization processes related to Small Block Claims decisions. TPA Policy Administration and Ongoing Care Management operations.
  • Participates in meetings and presentations to customers and assists in the implementation process for new customers.
  • Other duties that are assigned.
Requirements:
  • Minimum of 3 years of prior management and/or supervisory experience
  • Minimum of 3 years of LTC Claims experience
  • Minimum of 2 years of office, customer service experience
  • College degree or RN
  • Typing speed of 50 WPM or better
  • Demonstrated strong leadership skills and a high degree of self-motivation and initiative, along with the ability to develop and coach members
  • Strong medical, procedural and technical knowledge
  • Superior analytical and flexible decision-making skills and ability to exercise judgment when applying standards and contract language
  • Excellent communication with the team, claimants, claimants' families and other parties with proven ability to exercise tact, diplomacy, resourcefulness, and understanding to gain trust and customer confidence. Demonstrated negotiation skills required.

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Manager, Small Block Claims?

Sign up to receive alerts about other jobs on the Manager, Small Block Claims career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$164,116 - $229,853
Income Estimation: 
$188,132 - $272,100
Income Estimation: 
$162,278 - $218,065
Income Estimation: 
$97,158 - $125,490
Income Estimation: 
$142,348 - $187,535
Income Estimation: 
$164,116 - $229,853
Income Estimation: 
$162,278 - $218,065
Income Estimation: 
$69,116 - $84,792
Income Estimation: 
$95,639 - $124,292
Income Estimation: 
$123,613 - $165,638
Income Estimation: 
$97,158 - $125,490
Income Estimation: 
$87,788 - $104,837
Income Estimation: 
$70,647 - $86,374
Income Estimation: 
$123,613 - $165,638
Income Estimation: 
$69,116 - $84,792
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at illumifin

illumifin
Hired Organization Address Prairie, MN Full Time
Part-Time Monday-Friday 10:30am-4:30pm ET JOB SUMMARY: This role's purpose is to handle inbound calls, research and reso...
illumifin
Hired Organization Address Prairie, MN Full Time
We are looking for a Customer Care Professional to join customer care center operations. This individual will be part of...
illumifin
Hired Organization Address Prairie, MN Full Time
WE ARE THE KIND OF EMPLOYER YOU DESERVE. illumifin is an insurance technology company and third-party administrator that...
illumifin
Hired Organization Address Prairie, MN Temporary
The nation's leading administrator of long term care insurance services is looking for YOU. This is your opportunity to ...

Not the job you're looking for? Here are some other Manager, Small Block Claims jobs in the Prairie, MN area that may be a better fit.

General Manager at The Block

Craft & Crew Hospitality, Park, MN

General Manager at The Block

Craft & Crew Hospitality, Saint Louis, MN

AI Assistant is available now!

Feel free to start your new journey!