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Claims Operation Manager

Company: Assurant
Location: Boca Raton
Posted on: July 16, 2021

Job Description:

The Claims Operations Manager Plans, organizes, leads, controls, and coordinates the provision of services in Claims Operations.

Primary Responsibilities:

  • In consultation with superior and subordinate supervisory personnel as an appropriate, develops short- and long- term goals and plans for area(s) of responsibility.
  • Assists in development, and administration of an operating budget for attainment of agreed upon goals in accordance with approved plans.
  • Formulates policy for area(s) of responsibility and secures appropriate approvals.  Develops and administers procedures necessary to implement approved policy and provides the overall direction necessary to ensure the delivery of efficient and effective area services.
  • Hires, develops, evaluates, and (when necessary) disciplines and discharges subordinates’ personnel or makes authoritative recommendations in such matter.  Develops function-specific orientation and training programs for area personnel.  Establishes standards for effective job performance and evaluates subordinates according to such standards.  Delegates these responsibilities to supervisory personnel as appropriate.
  • Reviews claims pending approval based on authority limit and processes approvals when needed.  Works with internal areas including legal teams regarding policy language and interpretations when needed.
  • Responsible for the development and maintenance of an effective organization for area(s) of responsibility, including a) efficient workflow patterns; b) established performance standards; c) effective delineation of duties and responsibilities; d) suitable staffing levels; e) appropriate supervision; and f) systems for timely communication of pertinent information.
  • Responsible for the monitoring of an ongoing quality assurance program for all clients, including any clients that may be added during Disaster Recovery operations.  Ensures compliance with regulatory agency guidelines and standards.
  • Maintain daily control of all regular programs by providing leadership/direction to support staff, internal management, clients, and service bureaus.
  • Present to clients & markets, program results/recommendations.
  • Conducts department tours as well as participates in client meetings and audits.
  • Participates on committees and in programs for safety, fire prevention, disaster recovery and so forth.  Ensures the development of specific plans for inclusion in these programs.
  • Serves as liaison with other organizational components; establishes and maintains the working rapport necessary to develop cooperation and effectively integrate area services into the company’s overall business fulfillment system.
  • Receives and investigates all complaints concerning his or her area(s) of responsibility and its personnel; determines veracity of such and (as necessary) takes corrective or disciplinary action and/or prepares reply.
  • Remains abreast of developments in the field(s) of (whatever the functional specialty or specialties may be) by pursuing a program of self-development, participating in professional organizations, interacting with peers, reviewing pertinent literature, and so forth.  Incorporates advancements when practicable and cost effective.
  • Directs the preparation of records as well as recurring and special reports and analyses for area(s) of responsibility ensuring that they are complete, accurate and prepared on time.  Reviews and interprets these to ascertain the extent to which goals are being attained Takes corrective action as necessary.

Required Experience:

  • Level of knowledge ordinarily acquired through completion of a Bachelor’s degree or equivalent work experience.
  • 3-5 years of progressively more responsible experience in the area(s) managed. Minimum of 2 years in a managerial position.
  • Human resource policies and procedures; Contact Center Operations policies and procedures.
  • Excellent written and verbal communication skills.  Good analytical and interpersonal skills.

Keywords: Assurant, Boca Raton , Claims Operation Manager, Other , Boca Raton, Florida

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