OverviewOversee Claims Clerical and Administrative operations. Supervision of Claims Assistants. This role is responsible for managing the utilization review and medical treatment requests
Responsibilities- Oversee day-to- day operation and coordination of Claims Assistants.
- This role is responsible for managing the utilization review and medical treatment requests.
- Ensure timely workflow and prioritization of clerical tasks, management of diary, and the appropriate training or matching of task complexity to staff capabilities.
- Manage the Coming Full Circle process for each direct report - complete Setting Expectations, mid-year check-in, and year-end review process timely.
- Ensure that direct reports have clear understanding of expectations around behaviors and results and that those are in alignment with goals and expectations of the larger Claims function.
- Zen Care training, technical administration, process management and quality oversite.
- Support Claim Assistant goals, evaluate training needs, and ensure compliance with performance standards.
- Assist Claims branch with hiring, promotions, and disciplinary actions if necessary of Claim Assistants.
- Responsible for training new Claims administration staff on day-to-day role and accountabilities.
- Create and sustain an environment that motivates team members to achieve desired results.
- Work closely with Claims leadership and corporate leadership to ensure support staff understands how they contribute to corporate objectives and execute on their objectives.
- Perform other duties and projects as assigned.
- Model and maintain superior customer service practices for internal and external partners in line with Zenith value proposition and success profile at superior level.
- Provide coaching and feedback to clerical team members; ensure appropriate skills and knowledge exist.
- Understand, identify and implement process improvement strategies to include assistance with system changes and/or enhancements.
- Work closely with our technology leaders to implement better efficiencies.
- Assist to bridge new technologies for Claims developed by our leaders in technology and business process improvement.
- Maintain updated job description, day-to-day accountabilities, and setting expectations documents for Claims Assistants.
QualificationsEducation- High School Diploma Or equivalent required
- Bachelor's Degree or equivalent business experience required
Work Experience- 3+ years Previous experience handling/managing Workers' Compensation clerical and administrative duties required
Knowledge, Skills, and Abilities- Prior supervisory experience or 3 year's work experience demonstrating expert-level knowledge of technical workers compensation processes and support staff functions.
- Experience with a medical background, preferably utilization review in CA and out of state jurisdictions strongly preferred.
- Excellent verbal and written communication skill necessary.
- Ability to work independently, travel to various offices and establish rapport quickly with all staff.
- Work experience demonstrating effective time management, organizational and collaborative skills a must.
Pay, Benefits, and Other InformationThe expected salary range for this position is $85,736 - $107,170. Actual pay will be adjusted based on experience, geographic location, and other job-related factors as permitted by law. Qualifications may warrant placement in a different job level.
Benefits- Medical, Dental and Vision Insurance
- Flexible Spending Accounts
- Paid Parental Leave
- Life, AD&D and Disability Insurance
- 401(k), Employee Share Purchase Plan (ESPP)
- Education and Training Reimbursement
- Paid Leave: 3 weeks/year Vacation, 2 weeks/year Sick Leave
- 10 paid Company Holidays, 2 Personal Days, 2 Floating Holidays
- Employee Assistance Program (EAP)
- For more information, review details on the Benefits page of our Career Site: https://www.thezenith.com/careers/benefits/
Zenith typically posts jobs for a minimum of 8 to 14 calendar days. If you are interested in any of our open positions, we encourage you to submit your application promptly.
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