Experience: 7+ years
We're hiring an FEP Claims Team Leader, Operations to join the Claims Team! Responsible for leading a team of departmental staff, including oversight of workload and execution of operational goals. Provides guidance on problem resolution, ensures member and customer satisfaction, and maintains compliance with applicable requirements.
Leads performance coaching, development, and trend analysis, and serves as a key liaison between frontline staff, leadership, and cross functional partners.
- Manage day-to-day workload to achieve business objectives; provide leadership and direction to the team and execute team goals and expectations.
- Act as a resource for the team; provide assistance on work processes and procedures.
- Foster a positive, accountable, and collaborative team culture.
- Serve as the primary point of contact for operational updates and escalations, including direct, customer facing engagement as needed.
- Ensure employees are properly trained in processes and procedures and respond professionally, courteously, quickly, and accurately to all inquiries from internal and external customers.
- Provide ongoing coaching and development feedback to team members. Conduct regular coaching conversations and formal performance evaluations.
- Collaborate with other departmental teams to establish performance goals and monitor progress against those goals.
- Partner with cross functional teams to identify and address system or process gaps.
- Identify trends, determine root causes, and initiate appropriate action to resolve issues.
- Identify, document, and report system and process problems/trends using root cause analysis and implement solutions
- Conduct random audits of the team's work. Review audit results with employees and create performance improvement plans as necessary.
- May develop short and long-term service objectives and methods and implement these methods when approved.
- Respond quickly and accurately to escalated issues from clients and customers.
- May represent the department on corporate projects (i.e., divisional, corporate, etc.).
- In lieu of degree, 7+ years of experience in related field.
- Prior Federal Employee Program (FEP) experience strongly preferred.
- 2-3 years of people leadership or team lead experience preferred.
- The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community
- Work-life balance, flexibility, and the autonomy to do great work
- Medical, dental, and vision coverage along with numerous health and wellness programs
- Parental leave and support plus adoption and surrogacy assistance
- Career development programs and tuition reimbursement for continued education
Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.
Skills Change Management, Employee Performance Evaluations, Leadership, Operational Efficiency, Performance Management (PM), Performance Review Management, Process Improvements, Project Management, Team Management, Training and Development _____________________________________________________________________
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This posting was published by Blue Cross and Blue Shield of North Carolina 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.