Operations Manager
3 weeks ago
Robert Half is working with a well established, Edmonton-based insurance company to help them find a dynamic leader to develop and manage their new Health & Dental claims group.
Responsibilities:
- Establish, mentor and lead a new claims processing team by fostering a collaborative environment that prioritizes accuracy, efficiency and employee engagement.
- Design and implement health and dental claims processing workflows that ensure timely and compliant handling of claims.
- Create a client service culture and embed client engagement by inspiring and motivating the claims team to provide the best claims experience in Canada.
- Conduct regular health and dental claim file reviews and performance assessments, to identify and evaluate trends to optimize processes and provide recommendations for technology enhancements.
- Possess excellent communication strategies to handle disputes and escalations, working with claimants and Plan Sponsors to find fair resolutions.
- Assist in the evaluation for a new Health and Dental Claims Adjudication software partner.
Qualifications:
- 3+ years experience of leading a Health & Dental claims adjudication team.
- 5+years experience in group benefits Health and Dental Claims adjudication.
- Bachelor’s degree in Human Resources, Business Administration or equivalent.
- An insurance designation is considered an asset (LOMA, CEBS (GBA), ICA, etc.).
Required Skills
- Excellent organizational, analytical and interpersonal skills with the ability to manage multiple priorities.
- Strong problem-solving and decision-making abilities.
- Excellent communication skills with the ability to convey complex information clearly to various stakeholders.
- Proficient in MS Office Suite (e.g. Word, Excel, Outlook, and PowerPoint).
This is a unique opportunity for an experienced Manager looking for a new challenge. In addition to a competitive salary, a comprehensive total rewards package is offered. Apply today
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