Job Information
Ohio State Job Bank Claims Operations Lead in DUBLIN, Ohio
It's fun to work at a company where people truly believe in what theyare doing!
[Job Description:]{.underline}
[Job Summary:]{.underline}
The Claims Operations Lead provides supervision and advanced claims processing skills for our claims operations team. The incumbent provides administrative support to facilitate the processing of a wide ranges of claims. The Claims Operations Lead will help prioritize work and ensure the team meets required service level agreements.
Essential Job Responsibilities
- -
Serves as an initial escalation point of contact for team members who need assistance in performing work. Also will help train new team members on claims analysis work.- -
Processes claims and other document types by using case-specific procedures to verify the accuracy of claims and supporting documentation verifying that the information provided meets the criteria set forth in the case-specific settlement agreement.- -
Responds to email using the case-specific script provided by Case Team.- -
Summarize case and claims status, identify issues and provide corrective action.- -
Audit claims processing for accuracy.
Qualifications & Characteristics
- -
GED or High School Diploma- -
3+ years in claims analysis work- -
Previous leadership experience- -
Basic leadership skills and ability to communicate effectively to different audiences as needed- -
Proficiency with Microsoft Office Suite- -
Communication: asks questions; confirms understanding with the audience; learns and adopts best practices for written word exchanges with claimants- -
Problem Solving: seeks resolution despite roadblocks; identifies alternative routes to the goal- -
Critical Thinking: switches perspectives when considering solutions, to identify gaps and optimize results- -
Navigates Ambiguity: works through the unknown strategically- -
Organization: tracks a variety of assignments by priority, and quickly switches between tasks- -
Troubleshooting: leverages systems and tools knowledge to locate and repair root causes for error- -
Data Interpretation: accurately assesses claim data to drive the highest level of claimant service- -
Proprietary Software: understands the underlying structure of databases and other common tools for business administration, and learns new tools rapidly- -
Vision: continuously conceives of and aspires toward long-term change, while effectively executing short-term goals
The Compensation range for this role is 16.13 - 32.26 USD per hour and may be eligible for an annual bonus. Actual compensation within that range will be dependent upon the individual's location, skills, experience and qualifications.
Click here{rel="nofollow"} to learn about Epiq's Benefits.