Future Medical Claims Examiner | Brea, CA

Operations Manager

$71KFull-time · Dublin, OH - Glendon - 5500
✓ Verified live on the employer's own system · added 16 days ago
Save search
Junior · 2+ yrs exp

Requirements

Education: Bachelor's degree

Experience: 2+ years

Skills & tools

ManagementRisk ControlClaims HandlingLiability Claims ManagementCustomer ServiceHiringTeam LeadershipCommunications

Benefits — mentioned in this posting

Health, dental & vision401(k) / retirementPaid time off
Apply on company site ↗ See your fit → free

Full job description

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

- Oversees internal quality review process and reports monthly. - Assures compliance with client internal controls, audit requirements and service agreement requirements. - Establishes business plan with goals and objectives for assigned clients. - Ensures claims management policies and procedures are followed to assure meeting service standards, state statutes/regulations, disability plan document, industry best practices and client service requirements. - Establishes and maintains client contacts.

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.

QUALIFICATIONS
Education & Licensing

Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications appropriate to line of business preferred.

Experience

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

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

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

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.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $71,329.00 - $85,000.00 USD Annual .

A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

You may be just the right candidate for this or other roles.

More jobs at Future Medical Claims Examiner | Brea, CA

Similar jobs near Dublin, OH - Glendon - 5500

Tell me when more Operations Manager (Operations Manager II) jobs post near Lockbourne, OH We re-check every listing against the employer’s own board — no résumé needed.

Search Operations Manager jobs near Dublin, OH - Glendon - 5500 → Browse all live jobs

This posting was published by Future Medical Claims Examiner | Brea, CA on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.