Operations Manager
PRIMARY PURPOSE: To oversee technical and operational functions including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to oversee staffing and training needs; and to oversee budget preparation and profit and loss management. Has direct responsibility for less than 25 colleagues.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES- Oversees internal quality review process and reports monthly.
- Assures compliance with client internal controls, audit requirements and service agreement requirements.
- Establishes business plan with goals and objectives for assigned clients.
- Ensures claims management policies and procedures are followed to assure meeting service standards, state statutes/regulations, disability plan document, industry best practices and client service requirements.
- Establishes and maintains client contacts.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES- Performs other duties as assigned.
- Supports the organization's quality program(s).
- Travels as required.
SUPERVISORY RESPONSIBILITIES- Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
- Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
- Provides support, guidance, leadership and motivation to promote maximum performance.
QUALIFICATIONSEducation & LicensingBachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications appropriate to line of business preferred.
ExperienceEight (8) years claims management experience or equivalent combination of education and experience required to include two (2) years supervisory experience.
Skills & Knowledge- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Leadership/management/motivational skills
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Excellent negotiation skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
WORK ENVIRONMENTWhen applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
