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Manager – Claims Processing

Manager – Claims Processing

CompanyCarrot Fertility
LocationDes Moines, IA, USA
Salary$100000 – $130000
TypeFull-Time
DegreesBachelor’s
Experience LevelMid Level, Senior

Requirements

  • Bachelor’s degree
  • 3-5 years of experience in healthcare, insurance, or related SAAS technology leading a high-growth team dedicated to service
  • Ability to work independently with little management or direction on routine duties or projects, minimal general instruction on new assignments
  • Requires extensive customer service experience, people management, and organizational skills
  • Proven experience growing and scaling a large global team to offer omnichannel, multi-language, and multi-country support
  • Passion, experience, and/or genuine interest in the family-forming space
  • Established track record of exceeding targets, KPI’s, and Service Level Agreements (SLAs)
  • Proven performance management and development skills
  • Demonstrated ability to build consensus, establish trust, communicate effectively and foster culture change within the company/team
  • Demonstrated ability to implement process enhancements and efficiencies including performance
  • Demonstrated business acumen, customer awareness, and ability to create value
  • Outstanding communication skills, both oral and written, ability to manage multiple business areas and people
  • Interacts with peers and associates on business and technical issues
  • Ability to oversee direct functions, delegate work, and effectively negotiate issues with leadership
  • Prior exposure to high-growth, fast-paced work environments

Responsibilities

  • Oversee the day-to-day claims processing operations and member communications, working closely with the other managers and leadership
  • Manage schedules and duties of all Claims Processors related to business needs from a holistic view
  • Hire and develop high-performing Claims Processors and Senior Claims Processors to provide world-class member service in multiple support channels
  • Work closely with the Director of Payments to evaluate, test, and implement departmental and operational improvements
  • Drive operational excellence by monitoring and holding team members accountable to KPIs and individual metrics

Preferred Qualifications

  • Extensive knowledge of insurance regulations and industry best practices
  • Proficiency and comfort using business tools (e.g., Jira, Confluence, Zendesk, Airtable, G-Suite)