Key skills
LeadershipRisk ManagementCritical Thinking
About this role
Role Overview
- acts as a main point of contact for claims specific questions for the case managers
- serves as a mentor for new hires as well as supports new hiring training
- takes an active role in refresher training and development of existing staff
- ensures case managers are utilizing appropriate risk management skills to secure the appropriate claim outcome
- conducts manager reviews/audits of claims as necessary to ensure overall quality
- provides the appropriate coaching and feedback to case managers as needed
- monitors KPIs and reports to ensure service levels and commitments are met, working with case managers as needed
- monitors and adjusts workload balancing for case managers
- provides support to management in facilitating team meetings/ huddles
- may periodically manage complex cases and customer escalations
- elevates any trends and/or coaching opportunities to the leadership team
- completes special projects and/or ad hoc assignments as requested by leadership
- performs other related duties as required
Requirements
- Bachelor's Degree in business, management or a related field
- 4 or more years job related experience
- 2 years STD/LTD case management experience
- excellent critical thinking and decision-making skills
- strong leadership and organizational skills
- strong understanding of contracts, plans and products
- strong knowledge of best practices and effective case management skills
Benefits
- medical, dental, and vision coverage
- prescription drug coverage
- health care flexible spending
- dependent care flexible spending
- Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee)
- 401(k) plans
- annual bonuses
- opportunity to purchase company stock
- 11 paid holidays
- up to 20 days PTO to be used for any reason
- state-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked) and other leaves of absence