POSITION SUMMARY Manager, Claims Operations will be responsible for leadership of claims operations staff in the processing of Comp (A&H) and Life Final Expense claims. This position will report to the Director, Claims Experience and will be tasked with day-to-day management of these units, while implementing process and system enhancements to optimize accuracy and efficiency.
Fundamental Components:
Day-to-day leadership and direction of Claims operations staff
Development and monitoring of daily / weekly / monthly reporting & metrics
Mentoring and support of Team Lead and SME staff to enhance leadership skills & staff competency
Identification of workflow process and system enhancement opportunities
Management of HR related functions: Time-sheet approvals, Time-off requests, Quarterly &/or Annual performance reviews, etc
Interaction with other Operational & IT leaders to optimize interdepartmental processing, accuracy, and efficiency
BACKGROUND/EXPERIENCE desired:
Minimum 1 year experience in a Supervisory level position in a Claims / Audit / Customer Service operational role. (Previous Managerial-level experience a plus)
Previous experience in the Insurance &/or Healthcare claims processing / Call-Center environments highly preferred. (Focus on A&H and/or LIFE insurance a plus)
Demonstrated ability to lead teams and develop cohesive operational units
Previous experience implementing processing and system enhancements to optimize efficiency
EDUCATION The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.
ADDITIONAL JOB INFORMATION
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click to review the benefits associated with this position.
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
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Employment Type Regular
Career Band Description Management
