Senior Claims Account Manager

WCF is an A-rated insurance carrier growing in the western U.S. We are looking to add a claim professional wanting to join a company with a great culture competitive pay and great benefits. We work hard to attract and retain the best people to provide leading edge service to our customers. To this end we have developed a competitive benefit program work/life program and personal/professional development. Our growth will provide great advancement opportunities. WCF believes the most effective representative results from a great work environment with a healthy life outside of work.

Position

The Claims Services department has an immediate opening for someone who can demonstrate the WCF values to join their team as a Senior Claims Account Manager. This full-time exempt position works out of WCFs Sandy Utah headquarters or one of the regional offices located in Roseville CA; Boise ID; Denver CO Phoenix AZ or Las Vegas NV. Hybrid (office/home) work is available after training. This posting is open to internal and external candidates.

Responsibilities

• Assist in scheduling and coordinating claim reviews with WCF policyholders and agency partners.
• Gather claim status reports from adjusters in advance of claim reviews and participate in editing and distributing reviews to external business partners and policyholders.
• Attend claim reviews and provide feedback to create understanding and move claims toward fair and equitable resolution.
• Assist in developing solutions to claims issues brought by policyholders and agency partners.
• Work with TPA account managers and adjusters to resolve technical and claims issues particularly in WCF non-core states.
• Demonstrate autonomy self-direction accountability and the ability to maintain confidentiality and prioritize deadlines.
• Work with the director to develop strategies for resolving claims issues improving the WCF TPA program and staying informed of emerging claims and policy concerns.
• Follow up as necessary with adjusters to confirm that claims are being handled and moving toward resolution.
• Develop relationships with business partners and claims professionals while promoting exceptional customer service across multiple locations.
• Partner and collaborate to promote the WCF way maximize organization efficiency and further enhance process improvement initiatives.
• Build rapport within the WCF claims department to create a message of unity among the core states.

Qualifications

• Bachelors degree in business or related field.
• At least seven years of related work experience including senior- level claims adjusting or management experience.
• Strong interpersonal skills and excellent written and oral communication skills.
• Excellent working knowledge of medical terminology claim and policy interpretation adjusting standards and legal issues.
• Analytical and problem-solving skills for resolving complex claims issues.
• Strong computer skills.

WCF Insurance offers an extensive compensation package. Benefits include Medical Dental and Vision insurance company paid life insurance 401K with a generous 6% employer match and additional benefits such as an Employee Assistance Program (EAP) and time off to volunteer in the local community. All employees earn 4 weeks of vacation in their first year. Expected salary for this position is $90000 - $125000 depending on location experience and education.

Internal candidates should have acceptable job performance 6 months in their current position and must notify their current supervisor that they have applied for the position.

Our People

WCF strives to provide an excellent work experience and cultivate an inclusive environment where anyone who embodies our values will thrive.

WCF Insurance is an Equal Opportunity Employer

WCF Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race color religion sex age national origin veteran status disability that can be reasonably accommodated or any other basis prohibited by federal state or local law.

Required Experience:

Manager