Manager Group Health Claims

3 weeks ago

Kingston, Canada THE EMPIRE LIFE INS. CO Full time

**Manager Group Health Claims**

**Why you’ll love this role**:
The Manager, Group Health Claims manages the day-to-day operations of the Group Health Claims team. The incumbent is guided by defined goals and objectives and works independently and under the general supervision of the Director, Group Service and Claims.

**What you’ll be working on**:
- Provides business leadership, expert consultation and solution generation to ensure effective operations, continuous improvement and supports a positive customer experience.- Lead or participate on projects acting as a project sponsor and / or stakeholder, providing expertise as required- Develop and sustain Management Systems (process controls, metrics & reporting, training, etc.) to achieve the following objectives:
- Development, management and communication of process changes through effective change management.-
- Lead quality, service & productivity programs to appropriate actions, using data to drive decisions-
- Lead workflow and capacity planning and management-
- Lead, identify and action process improvement program within team-
- Coach and mentor employees, identify employee training, set goals and objectives and effective individual development plans, accountable for resource management, recruitment, performance management- Responsible for active management of complex customer/advisor relationships/complaints- Oversee the preparation of and manage the execution of the annual budgets- Independently uses technology, statistical techniques and data to collect, interpret and analyze data to identify important business questions and identify control risks, such as patterns and correlations within the data; reporting results, taking appropriate actions and/or raising recommendations on the findings.- Collaborate with internal stakeholders to promote operational awareness, market intelligence and trends, make recommendations for new and improved services and provide insight on day-to-day operations; assist with product development and the development of proactive approaches to claims adjudication practices- Utilize leading and lagging indicators, measures and initiatives to monitor team and individual performance- Foster and influences an environment of learning, collaboration and continuous improvement; oversee training and development programs that develop employees’ knowledge and expertise- Develop and maintain a network of industry contacts, represent Empire and provide insight through industry committee involvement on issues regarding health care industry changes and trends- Develop and maintain Distribution Partner and Customer relationships-
- Ensure compliance with contract terms, legislation, government programs, industry standards, department best practices and overall adjudication protocols and service standards

**What you’ll need to have**:
- Completion of a college diploma or university degree with a with a concentration in one of the following areas: Business, Accounting, Data Analytics, MIS, Mathematics, Statistics, or similar- Combination of education or experience in data science/analytics/visualization, design & systems thinking, business analytics, finance or economic- 5+ years work experience in the insurance/financial services industry, preferably in group insurance- Supervisory or management experience- Well developed team building, coaching and mentoring skills- Well-developed customer relations skills including problem-resolution & negotiation skills- Ability to prioritize and balance multiple tasks or projects- Well-developed analytical, decision-making and problem resolution skills- Clear writing, listening and verbal communication skills

**It would be nice for you to have**:
- Bilingualism (English/French) is an asset- CEBS or industry Claim designation is an asset

**Beyond the salary**:
For regular full-time positions, Empire Life offers a competitive salary and comprehensive benefits package including:
- Benefits plan- Pension plan- Social club- Learning & development- Current career opportunities- Career choices

**Get to know us**:
We’re one of the top 10 life insurance companies in Canada and offer an environment that encourages the pursuit of personal and professional success. At the heart of that success is our focus on customers; we provide protection and financial security for Canadians—with a personal touch.

We acknowledge and reward talent, and support our employees in achieving and exceeding individual and organizational goals. Our goal is to make Empire Life a great place to work, learn and grow, where people can be their true selves, feel they belong and have equal opportunity for growth in their careers. We’re also committed to supporting an inclusive workplace that values diversity.

If you’re looking for an exciting opportunity and the chance to build a career in an innovative and dynamic organization, submit your resume by clicking on Apply.

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