Technical Claims Specialist
Technical Claims Specialist
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Salary Not Disclosed
1 Vacancy
Job Description
About this job:
This person will be working with the Claims team in the Minneapolis Office and will be responsible for assisting in the development and facilitation of on-the-job training within the Claims team as well as conducting quality audits to include quality coaching of staff. Additional responsibilities include supporting the Manager of Claims as a subject matter expert and assisting in the complete and accurate adjudication of claims when needed. This position does not have direct reports.
Core duties and responsibilities:
- Create and maintain standardized best practices in all organizational areas including but not limited to workflow assessment procedures training manual development and maintenance as well as excellence in documentation and compliance
- Continuous evaluation of claims processes and operations for areas of improvement via learning training and individual associate development
- Completion of random audits of claims activities internal as well as external client-based to include reporting of overall findings analysis of finding trends and recommendations for improvement
- On-the-job training of new claims team members as well as ongoing mentoring for any development needs
- Assist leadership in management of daily inventory operational and edit reports; provide recommendations for improvement and / or enhancement
- Build and maintain proactive and positive working relationships with clients and brokers
- Active participation in client implementation activities and cross-functional initiatives
- Engagement in projects and process improvement initiatives to include facilitation of claims work groups as requested by leadership
Qualifications :
About you:
You will be someone who accurately efficiently meets or exceeds corporate and industry standards. You will have 7-10 yrs experience in Health Insurance/Reinsurance with exp. preferably within Medical Excess and/or Employer Stop Loss claim processing. You will have demonstrated experience in on the job training and mentoring of staff; familiarity of adult-learning preferred. You will have demonstrated ability to remain objective and knowledge of operational auditing fundamentals. Knowledge of a variety of health insurance products.
You will have a strong organizational skills: accurate and detail-orientated with the ability to manage multiple priorities and meet established deadlines. You will have proven experience of working in a multi-function business unit with the ability to maintain confidentiality. You need to have excellent oral and written communication skills with strong customer service and direct client experience.
Additional Information :
#LI-Hybrid
PartnerRe provides a working environment in which diversity is valued where all employees feel welcome respected and empowered to perform at their best. We invite you to learn more about D&I at PartnerRe.
Thank you
PartnerRe Hiring Team
Remote Work :
No
Employment Type :
Full-time
Employment Type
Full-time
