Training, Strategy, and Compliance Manager, Commercial Claims
- Strongly influence the overall caliber of claims service by owning primary responsibility for all department training and quality assurance programs.
- Manage the development, maintenance, and delivery of customized curricula to train new employees, deliver new skills and knowledge to incumbent staff, and provide continuing education.
- Identify the reporting implications of changes to product offerings, company strategy, vendor partnerships, state regulations, bureau requirements, published reporting standards, etc.
- Research, analyze, and recommend improvements to the department's business processes to refine overall organization performance.
- Monitor and analyze commercial claim laws and regulations that may affect claims handling policies and practices.
- Lead regular efforts aimed at process improvement, system and vendor optimization, and effective measurement of business performance
- Keep current with ever-changing statutes, business practices, technology, claims standards, and training tools.
- Coordinate with leadership, employees, customers, agencies, and all internal departments to help ensure an effective and efficient claims process.
- At least seven years' experience in commercial claims
- Outstanding communication, presentation, and training skills across departments and disciplines.
- Strong background and experience in process improvement and data analysis.
- Outstanding research skills and ability to study technical manuals to understand, communicate, and help implement technical specifications.
- Familiarity with core systems, including data management.
- Ability to work at both strategic and technical levels.
- Ability to read and interpret contracts, policies, and other documents.
- Bachelor's degree or appropriate combination of insurance industry claims designation(s); graduate degree preferred.
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