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Customer Service and Claims Manager

Company: MBA
Location: Scottsdale
Posted on: November 22, 2021

Job Description:

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 team.
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!
Medical/Dental/Vision
Prescription Drug Service
Short/Long Term Disability
Vision
Life Insurance
Paid Training
Paid Vacation
Paid Holidays
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.
Responsibilities:
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 changes.
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 teams.
Monitors workflow reports to ensure backlog is current and jobs are appropriately prioritized for units and all processes in the assigned teams.
Maintains detailed knowledge of benefits and standard operating procedures.
Assists all teams with questions on all aspects of claims operations.
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 deadlines.
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 appropriate.
Thorough knowledge of employment-related laws and regulations.
Proficient with Microsoft Office Suite or related software.

Minimum Requirements:
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.
Physical Requirements:
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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