Customer Service and Claims Manager
Posted on: November 22, 2021
Merchants Benefit Administration is a third-party insurance
administrator headquarter in beautiful North Scottsdale AZ, near
the Kierland area. - We provide back-office administration services
for insurance companies such as billing, collecting, and claims
processing for various types of insurance plans. - We are seeking a
skilled Customer Service & Claims Manager who can join our
At Merchants Benefit Administration (MBA), we believe our employees
are our best asset. - If you are goal-oriented and are looking for
an opportunity to join a fast-paced and growing organization - we
want to hear from you!
We offer a complete benefits package, 100% paid by us!
Prescription Drug Service
Short/Long Term Disability
401(k) - match
The Customer Service and Claims Manager leads all aspects of claims
for medical and individual dental. - Sets strategy for group
ensuring operational efficiency and client expectations are met. -
Responsible for developing and executing work-flow management and
standard operating procedures for all claim related matters. -
Responsible for procedures to maintain high quality and claim
inventory management standards, identifying trends which require
improvement or adjustments ensuring consistencies and quality
measures are achieved. Responsible for claims system set up and
monitoring for accuracy.
Leading in-depth analysis of workflows, system setup, and system
audits as necessary, including managing system upgrades and testing
for multiple clients.
Performing advanced troubleshooting and problem-solving to ensure
the integrity, integration, and stability of MBA applications.
Identifies and sets production and quality standards, identifying
areas of improvement. Makes recommendations and executes
Independently fulfilling system requests from customers and
translating needs into detailed requirement specifications.
Reviews and adjusts workload assigned to units to ensure customer
service SLA's and claims performance metrics are met.
Monitors production and quality standards assigned to the
Monitors workflow reports to ensure backlog is current and jobs are
appropriately prioritized for units and all processes in the
Maintains detailed knowledge of benefits and standard operating
Assists all teams with questions on all aspects of claims
Identifies trends and initiates technical education to staff.
Manages processing and adjudication statistics to ensure plans are
accurately and efficiently processed within claims systems.
Performs other related duties as assigned.
What Skills you Should Bring to MBA:
Excellent verbal and written communication skills.
Excellent interpersonal and negotiation skills.
Excellent organizational skills and attention to detail.
Excellent time management skills with a proven ability to meet
Strong analytical and problem-solving skills.
Strong supervisory and leadership skills.
Ability to adapt to the needs of the Company and employees.
Ability to prioritize tasks and to delegate them when
Thorough knowledge of employment-related laws and regulations.
Proficient with Microsoft Office Suite or related software.
College degree or related business experience required
Prior claims experience of minimum five (5) years is required
Detailed knowledge of claims and related services.
Proficient level computer skills; Word, Excel, PowerPoint etc. (All
MS office products).
Local Candidates Only.
Prolonged periods sitting at a desk and working on a computer.
Notice to Applicants: This position requires all potential
candidates to complete background checks and drug screenings prior
to any offer of employment.
Keywords: MBA, Scottsdale , Customer Service and Claims Manager, Hospitality & Tourism , Scottsdale, Arizona
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