Description

Building Brighter Futures, One Smile at a Time!

LIBERTY Dental Plan is seeking an experienced Director of Claims to support our growing East Coast Operations.

Ideal Candidates will live in Florida, New York, or New Jersey, and will support East Coast Business hours.

The Director Claims is responsible for directing Claims Operations, ensuring that quality and compliance standards are being met and that the best possible service is being provided to our customers. Provides strategic leadership to the assigned market and National Claims Operations including long-term planning, technology strategy, and continuous improvement of operational efficiency.

Job Summary Details

• Supervise the development of workflows and procedures; identify and pursue needs for process improvements, quality auditing measures and system enhancements.
• Ability to successfully manage change and growth and adapt to multiple and changing priorities with sometimes concurrent deadlines.
• Develop leadership and functional abilities of staff through coaching, mentoring, and managing the performance of the team.
• Formulate and implement processes required to support corporate vision, goals and client service.
• Strive to improve service and efficiency. Develop new, improved, more accurate and efficient workflow processes.
• Establish, maintain, and monitor goals of production and accuracy for each job function.
• Balance productivity/quality requirements.
• Develop cost containment strategies to support the fiscal needs of the company.
• Confer with company leadership to discuss goals and objectives, to review progress, and to determine the needs to support corporate strategy.
• Prepare operation, productivity, and forecasting reports for management analysis.
• Ensure we appropriately and timely respond to correspondence regarding complaints, audits, and inquiries that require management attention.
• Keep current on state and federal regulatory issues, client requirements, and industry activity and trends.
• Assist with various projects and initiatives.
• Complete all necessary tasks associated with managing direct reports in a timely fashion (e.g. timecards, performance reviews, holding timely one-on-one or department meetings, etc.).
• Perform other related duties as assigned.

Qualifications

Education / Experience

• 4 Year / Bachelors Degree in Business, Management or related field of study, or equivalent combination of education and experience
• 8 years' experience in a managerial capacity with a minimum of 5 years in a healthcare or dental plan operations role
• Claims processing experience required, preferably in a dental environment
• Knowledgeable of and experience with claims regulatory/compliance requirements (CMS, DOI, ERISA, NCCI, DMHC, HIPAA regulations)

Specific Skills & Knowledge(Please be prepared to Complete Online Skills Assessments as part of the Application process)

• Broad knowledge of technology (Word, Excel, Outlook, Claims processing systems, etc.)
• Strong leadership ability and staff management skills
• Excellent decision making and analytical skills
• Ability to manage multiple projects and heavy workload
• Strong communication skills
• Project management exposure with ability to create and implement plans successfully

Location

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.

What LIBERTY Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. That’s why LIBERTY offers competitive and attractive benefit packages for their employees. We strive to care for employees in positive ways that promotes wellness and productive employees.

Our first-class benefit package supports our employees and their dependents with:

• Competitive pay structure and saving options that help you reach your financial goals
• Excellent 401k retirement benefits available which includes employer match and ability to save via a Roth IRA, plus immediate vesting during Safe Harbor period and professional financial advice through Financial Engines!
• Medical insurance offered with low-cost premium for employee only coverage and LIBERTY subsidizes 50% of dependent coverage for eligible enrolled dependents.
• 100% employer paid dental coverage for employees and eligible dependents.
• 100% employer paid vision coverage for employee only coverage, low-cost premium for dependents!
• Company paid basic life and AD&D coverage; options to elect additional supplemental coverage.
• Long Term Disability coverage
• Expansive wellness program including companywide Get Active challenges and Burn-A-Long with option for gym discounts.
• Employee Assistance Program
• Generous vacation and sick leave with the ability to roll time over.
• 10 paid company holidays
• Tuition Reimbursement
• Remote or Hybrid options for various positions
• And so much more...

Compensation

In the spirit of pay transparency, we are excited to share the base salary for this position is $99,306 - $135,000, exclusive of fringe benefits or potential bonuses. If you are hired at LIBERTY, your final base salary compensation will be determined based on factors such as geographic location, skills, education, and/or experience. In addition to those factors – we believe in the importance of pay equity and consider internal equity of our current team members as a part of any, final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth.

LIBERTY Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. LIBERTY will leverage diverse perspectives in building high performance teams and organizational culture. 

LIBERTYDental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. 

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

LIBERTY Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.