Mgr. - Integrated Claims

Job Responsibilities and Requirements

KEY RESPONSIBILITIES

*other duties as assigned*

Position Summary:

The Manager, Integrated Claims (IC) is responsible for the overall success of claims team(s) by driving solution-based thinking in a demanding environment.  We are looking for a dynamic, versatile and energetic Manager to positively lead a team of highly motivated supervisors while delivering on commitments to our clients. 

Duties and Responsibilities:

• Ensure the processing of claims under all lines of coverage handled in the Integrated Claims Unit.
• Ensure the supervisory team is current with all practices;  identifies and develops action plans for team/individual career objectives.
• Conducts routine file reviews to ensure quality and production goals are achieved.
• Focusing on continuous employee development through empowerment, claim investigation, evaluation, time/desk management and communication.
• Analyzes audit results to identify trends, issues and training opportunities.
• Supports claims partnership with sales and underwriting, actuarial, customer service and other internal departments.
• Collaborates with business partners in the identification, development, organization and execution of claim and corporate initiatives.
• Performs key role in staff assessment, selection, development, skills training and application of new processes and technology.

• Regularly meets with staff to discuss new procedures, trends identified in quality reviews, reinforce training efforts, communicate results, share information or problems, and provide a forum for team building.
• Develops, models, and maintains effective working relationships with external and internal contacts.(Supervisor)
• Completes annual performance reviews timely with a fair assessment of employees’ performance.
• Participates in presentations, trainings, client meetings and claimant legal hearings. 
• Travels (overnight) as required
  
   

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job.  Duties, responsibilities and activities may change at any time with or without notice.

REQUIRED KNOWLEDGE, SKILLS, ABILITIES, COMPETENCIES, AND/OR RELATED EXPERIENCE

*or equivalent experience gained from any combination of formal education, on-the-job training, and/or work and life experience*

Education, Qualifications and Experience:

• Bachelor’s degree required.
• Completion of HIPAA, LOMA or ICA courses desirable.
• Minimum of five years claims management experience, required
• Minimum of three years of relevant supervisory experience in a claims environment
• The ability to handle multiple competing priorities.
• The ability to function with minimal supervision.
• Proven ability to work well in a high visibility, public oriented environment, with excellent written and verbal communication skills.
• Proficient in use of Microsoft Office suite (MS Word, MS Excel, MS Outlook)
• Proven ability to actively engage in sales presentations and customer meetings.
• Proven ability to work with the following equipment: Personal computer programs (e-mail, Microsoft Word and Excel, etc.), automated claims systems, telephone, fax machine and calculator. Ability to use any or all of this equipment to track, measure and improve performance.

PHYSICAL REQUIREMENTS

When used in the description below, the following terms are defined as:

“Occasional”: done only from time to time, but necessary when it is performed

“Frequent”: regularly performed; generally an act that is required on a daily basis

“Continuous”: typically performed for the majority of an employee’s shift

Sitting for prolonged periods of time, frequently standing, walking distances up to one mile, bending, crouching, kneeling, reaching, occasionally lifting 25lbs, extensive typing, picking up and holding small objecting and otherwise using primarily the fingers rather than the entire hand.  Employee is required to have visual acuity sufficient to perform activities such as preparing and analyzing data and figures; transcribing notes; viewing a computer terminal and extensive reading. Employee is required to have hearing sufficient to understand verbal instruction and answer telephones.  Reliance Matrix will provide qualified employees with a reasonable accommodation in accordance with applicable law.

CORE VALUES

• Collaboration
• Compassion
• Empowerment
• Integrity
• Fun

The above description reflects the general details considered necessary to describe the principle responsibilities and functions of the job identified and shall not be construed as a detailed description of all the work requirements that may be inherent to this job.

 

The expected hiring range for this position is $79,170.00 - $105,690.00 annually for work performed in the primary location (Phoenix, AZ). This expected hiring range covers only base pay and excludes any other compensation components such as commissions or incentive awards. The successful candidate’s starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions. These ranges may be modified in the future.

Work location may be flexible if approved by the Company.

What We Offer

At Reliance Matrix, we believe that creating a more diverse, equitable and inclusive culture allows us to realize more of our potential. And we can’t do this without our most important asset—you.

That is why we offer a competitive pay package and a range of benefits to help team members thrive in their financial, physical, and mental wellbeing.  

Our Benefits:

• An annual performance bonus for all team members
• Generous 401(k) company match that is immediately vested
• A choice of three medical plans (that include prescription drug coverage) to suit your unique needs.  For High Deductible Health Plan enrollees, a company contribution to your Health Savings Account
• Multiple options for dental and vision coverage
• Company provided Life & Disability Insurance to ensure financial protection when you need it most
• Family friendly benefits including Paid Parental Leave & Adoption Assistance 
• Hybrid work arrangements for eligible roles
• Tuition Reimbursement and Continuing Professional Education
• Paid Time Off, volunteer days, community partnerships, and Employee Assistance Program
• Ability to connect with colleagues around the country through our Employee Resource Group program and our Diversity Equity & Inclusion Council

Our Values:

• Integrity
• Empowerment
• Compassion
• Collaboration
• Fun

EEO Statement

Reliance Matrix is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability, or any other classification or characteristic protected by federal or state law or regulation. We assure you that your opportunity for employment depends solely on your qualifications.

 

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