What are the responsibilities and job description for the Senior Manager, TPA Claims Operations position at Starr Insurance Companies?
Starr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world.
Cornelius Vander Starr established his first insurance company in Shanghai, China in 1919. Today, we are one of the world's fastest growing insurance organizations, capable of writing in 128 countries on 6 continents.
Starr is looking for individuals who bring "passion" and "drive" to work with them every day. There's no shortage of opportunities as we continue to grow. Come join our amazing team today!
Location : Atlanta / Alpharetta
Alternative Location : Philadelphia or Chicago
This position will serve as Claims Operations point of contact, agreement, and invoice liaison at Starr for Third Party Administration (TPA) financial and compliance related functions. It will provide responsive and pro-active support to internal and external parties as it relates to TPA related items. This role will be responsible for the management of Business Analysts that provide operational support for TPA invoice processing, escrow funding, payment / loss data reconciliations and TPA system access controls.
This position reports to the AVP / VP of Claims Operations and works independently with TPA business partners and internal operations and profits center leadership. This senior leader will manage a fast paced, dynamic and flexible team responsible for managing the various aspects of TPA relationships.
- This role will be responsible for the management of teams of Business Analysts that provide operational support for Starr TPA's including invoice processing, escrow funding, payment / loss data reconciliations and TPA system access controls.
- Balance team project deliverables to ensure a high number of completed items and positive relationships with internal and external partners.
- Analyze and effectively communicate broader operations aspects to help influence decisions across departments and Profit Centers.
- Process TPA invoices in a timely manner, identifying gaps and collaborating with management to resolve items with Starr's best business practices in mind.
- Manage funding requests from each TPA including quarterly evaluations to ensure TPA funding requests are appropriate and controlled within funding guidelines.
- Perform monthly reconciliations of Starr related bank accounts.
- Conduct regular stewardship meetings with Starr's TPA partners to ensure that all parties are meeting the requirements of the Claim Service Agreements.
- Use professional communication skills to proactively facilitate discussions around concerns and manage updates to successful completion with limited direction.
- Offer subject matter support to all internal and external partners, providing analysis and recommendations with each interaction.
- Act as primary group / internal liaison for the TPA and / or escalated customer issues.
- Identify gaps and proactively communicate training needs within the team.
- Coordinate all TPA audits - both Internal Audits as well as Technical Claim File Audits. This coordination will require an understanding of the claims business as well as the financial controls necessary to manage a Carrier / TPA relationship.
Qualifications :
LI-LS1
Starr is an equal opportunity employer, which means we'll consider all suitably qualified applicants regardless of gender identity or expression, ethnic origin, nationality, religion or beliefs, age, sexual orientation, disability status or any other protected characteristic. We recruit and develop our people based on merit and we're committed to creating an inclusive environment for all employees. We offer first class training and development opportunities to all employees. Our aim is to grow our own talent and bring out the best in people.