Claims Operations and Administrative Manager

Franklin, Tennessee
$47,937.00 - $79,103.00 per year

This job has expired.

An exciting opportunity exists to join the ProAssurance family of companies!

We are a specialty writer of professional liability, products liability and workers' compensation insurance. With approximately 1,000 team members operating in all 50 states, we are well-positioned to offer career opportunities to individuals interested in professional growth.

This position supports PICA, a division of our medical professional liability line of business specializing in professional liability coverage for podiatrists, chiropractors and dentists.

While this position is remote, preference is for this position to be based in the EST or CST time zones.

Job Summary:

The Manager, PICA Claims Operations and Administrative reports to the Vice President of PICA Claims and is responsible for overseeing support for all PICA Claims functions, ensuring claim workflows are in compliance with Company policy and procedure, and is the technical liaison and subject matter expert on all claims systems and workflows.

Essential Duties and Responsibilities:

65% - Workflow and Quality Management:

  • Lead claims projects determined to be critical to the success of the organization and reduce potential enterprise risk exposure to the organization.
  • Collaborate with other team members in PICA Claims Management, IT, Data & Product Management, and BOLT to implement process and system changes.
  • Construct operational and trend reports, presentations, and memos as directed to include narratives, illustrations, and metric analysis.
  • Develop and monitor workflows, processes and guidelines and actively manage and communicate the technical requirements and procedures for the PICA Claims Department.
  • Organizes cross-functional teams to discuss workflow, process, and systems improvements.
  • Collaborate with other team members in PICA Claims Management, Data & Product Management and/or BOLT on the development and implementation of training strategies for the PICA Claims Department system usage and processes that empower all team members to understand and fulfill their roles in achieving department standards.
  • Assist in the communication and distribution of best practice results through written reports, PowerPoint presentations, oral presentations and coaching to both individuals and groups. Works collaboratively with business partners, including claims management, to ensure compliance with guidelines and claim handling practices and develops action plans regarding tasks, resources, and timeframes necessary for improvements.

30% - Team Management, Leadership, and Development:
  • Recruits, selects, and develops Claims Administrative Team. Provides guidance, support, and growth opportunities to team. Ensures that each team member has a meaningful professional development plan that supports the team member's career goals.
  • Manages the achievement of performance objectives for the team; provides frequent feedback and meets with direct reports on a regular basis for meaningful coaching discussions on all aspects of the team member's performance and development.
  • Conducts meaningful annual performance reviews on a timely basis and establishes SMART goals for team members.
  • Ensures the delivery of regular, quality training programs to enhance technical, business, supervisory and interpersonal skills of employees; collaborates with other departments on training and development opportunities. Conducts regular team meetings to review department goals and collaborate on department practices to improve efficiency and deliver exceptional outcomes in all claims functions.

5% - Secondary Duties:
  • Conduct quarterly claims technical quality reviews and provide recommendations for key opportunity areas. Measures compliance through the completion of quality reviews and ensure SOX compliance.
  • Collaborate with Business Development, Claims, Product, and Underwriting leadership to drive product development strategies based upon market trends.
  • Coordinate with Product and Underwriting leadership to identify opportunities to improve coverage and risk assessment practices that impact profitability.
  • Performs a variety of special projects or other duties as directed by management.

  • Bachelor's Degree required.
  • Seven years' experience in an insurance claim environment and three years administrative supervisory experience.
  • Highly developed organizational, planning and management skills and the ability to lead people and get results through others.
  • Demonstrates proficiency in Microsoft Office computer applications, particularly Excel; ability to learn new computer software applications.
  • Sound technical skills, analytical ability, high ethical standards, good judgment, and strong operational focus.
  • Ability to communicate effectively and professionally both verbally and in writing at all levels, internally and externally.
  • Advanced analytical and problem-solving skills, including formulating logical and objective conclusions.
  • Ability to prioritize, anticipate and solve practical problems or resolve issues.
  • Ability to assess the urgency and importance of a situation and take appropriate action.

Here at ProAssurance, we believe our team members are our most valuable asset. We are committed to providing a dynamic and inclusive environment where everyone can do their best work and grow personally and professionally.

For that reason, we partner with The Predictive Index (PI) - an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one's work style.

The position you applied to may require completion of two assessments prior to being scheduled to interview with a hiring manager. Completion of the assessments is not required in order for your application to be reviewed and to speak with a Talent Acquisition team member. These assessments are Behavioral and Cognitive (internal candidates will only receive the Behavioral assessment), and each assessment takes less than 12 minutes to complete.

After submitting your application, you will receive two emails from The Predictive Index inviting you to complete each of these assessments (please check your SPAM or Junk email folder if you do not see these emails in your inbox.

Position Salary Range
$47,937.00 - $79,103.00
The salary range displayed represents the entirety of the pay grade for this position. Most candidates will start in the bottom half of the range. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have, your location and comparison to other team members already in this role.

This job has expired.

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