
Claims Portfolio Manager
5 hours ago
Job Title: Claims Portfolio Manager
About the Role:
We are seeking a highly skilled and experienced Claims Portfolio Manager to join our team. As a Claims Portfolio Manager, you will be responsible for managing claim work items within agreed Service Level Agreements (SLAs) and communicating any potential SLA risks ahead of time to facilitate corrective action.
- Key Responsibilities:
- Ensure claim work items are completed within agreed SLAs and communicate any potential SLA risks ahead of time for corrective action to take place.
- Manage claims effectively, ensuring timely resolution and minimizing the risk of claims becoming complex or escalated.
- Perform quality assurance tasks and conduct end-to-end claim reviews to ensure proficient and accurate case management within the team.
- Take ownership of providing coaching to administrators to address any identified quality gaps.
- Risk Management: Ensure incidents are reported within SLA timeframes to your leader and when requested assist with incident remediation.
- Complex Enquiries: Take ownership of complex enquiries raised both internally and externally (client and/or insurer), ensuring they are answered within agreed SLAs.
- Standard Operating Procedures (SOPs): Provide subject matter expert (SME) input for SOPs and ensure all SOP actions are completed within agreed timeframes.
- Complaint Management: When requested, provide support in complaint management activities with internal and external stakeholders related to Insurance Claims and RG271.
- Training and Development: Collaborate with our training and development team to facilitate and/or support training sessions for the claims administration team.
About You:
To be successful in this role, you will need to have excellent communication and problem-solving skills, as well as the ability to work independently and as part of a team. You should also have a strong understanding of insurance claims and regulatory requirements, as well as experience in quality assurance and process improvement.
What We Offer:
We offer a competitive salary and benefits package, as well as opportunities for professional development and career advancement. If you are a motivated and experienced Claims Portfolio Manager looking for a new challenge, please apply today.
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