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Claims Manager

Position Code: 3019

Department:  Claims Administration
Location: Columbus, Ohio
Immediate Supervisor:  Darren Ashby
Status: Exempt
Posted: April 27 2018

Essential Functions of Job:

• Manages the unit that provides implementation and claims administration services to clients • Achieve defined productivity, timeliness, and quality standards • Monitor reports on production and quality of staff • Motivate, develop and retain a competent staff • Maintain active command of staffs job related skills • Identify and assist in the recognition, analysis and resolution of organizational and procedural problems • Interface with new clients for implementation of group • Assure system is programmed accurately to benefits design for each group • Provide technical assistance on problem research & resolution • Interface with customers (both internal and/or external) to resolve problems • Proactively work with customers (both internal and/or external) to provide unsurpassed customer service and seamless benefits administration • Maintain assigned client documentation • Maintain thorough understanding of client specific and industry standards • Maintain claims accuracy and turn around time for all clients • Some travel may be required • Ability to report to the office


• College degree preferred, experience considered in lieu of degree • Effective organizational and prioritization skills • Excellent oral and written communication skills • Basic knowledge of Microsoft Office software applications (Word, Excel, Outlook, Access) • Ability to work in a fast paced, multi-tasking environment • Strong interpersonal skills with ability to instruct and develop team members • Strong problem solving skills • Thorough understanding of employee benefits and benefits interpretation • 7 or more years supervisory experience preferred • 7 or more years claims payment and/or benefits administration or equivalent experience preferred


The Company considers applicants without regard to race, color, national origin, sex, religion, mental or physical disability, marital status, age 40 years and over, sexual orientation or gender identity, veteran's status, or other characteristic protected by applicable law.

Applications for this vacancy will be received for 3 working days after the Posted date from Employees of HealthSCOPE Benefits with more than one year of service.

Applications for this vacancy will be received for 10 working days after the Posted date from External Applicants.



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