JOB SUMMARY
The Manager of Specialized Claim Services (SCS) will be a member of the SCS leadership team that is responsible for the successful management of claims professionals, compliance with PDA business standards and goals, and ensuring the delivery of quality services to clients. This is a management role with direct supervision a team of Technical Claims Consultants. This position will work our of Maine office, but will be remote in the beginning due to COVID-19.
ESSENTIAL FUNCTIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
- Provides technical expertise and leadership for assigned claims team(s) and clients.
- Develops and maintains strong working relationships with clients, ensuring they receive high quality services from PDA staff.
- Cultivates customer relations and conserves profitable business by resolving challenges presented by clients and their customers, and by identifying and developing new service approaches.
- Ensures compliance with HR policies and practices, including administering company policies in all areas, establishing performance plans and discussions, ensuring employee development, and providing support, guidance, leadership, and motivation to promote maximum staff performance.
- Works closely with leadership to establish and implement business plans for the SCS.
- Other duties as assigned.
COMPETENCIES AND GENERAL SKILLS
- Results – Consistently completes assigned tasks in a timely manner. Strong bias for action with sense of urgency and high energy. Practices collaborative working environment to achieve more and plans, organizes and prioritizes workload to make best use of resources.
- Customer Focus – Has ability to look from customer’s view. Viewed as business partner by customers. Anticipates customer needs to ensure no barriers to doing business. Delivers service that consistently exceeds quality standards.
- Uses Effective Communication Skills – Candid, clear and concise in communication. Effectively matches style, tone and method to audience. Communicates effectively with multiple constituents such as clients, consultants, and colleagues.
- Teamwork – Works collaboratively to achieve the organization’s success.
- Technical Skills – Outstanding knowledge in job and/ or department. Holds self and others to high standards. Constantly strives to gain technical expertise, is proactive and inspires others to stay current in areas of technical expertise.
BUSINESS PARTNERING AND REPORTING
- Reports directly to VP, Client Services.
- Partners closely with leadership, TCC’s and clients.
QUALIFICATIONS
- Bachelor’s degree plus 6+ years of disability claims experience, preferably overseeing the day-to-day operations of a business segment.
- Strong understanding of underwriting/claim and other risk concepts as well as medical terminology.
- Strong background in group insurance with marketing resourcefulness and technical expertise.
- Proven ability to balance strategic direction with day-to-day work responsibilities.
- Strong track record of collaborative partnerships, both internally and externally, and excellent oral and written communication skills.
- Must be adept at Microsoft Office programs in order to do reporting, presentations and analysis.
- Experience successfully managing others, or demonstrated leadership abilities with the aptitude to manage others, including training/mentoring, conflict resolution, etc..
CORE VALUES AND OUR STUNNING TEAMMATES
Our objective as an employer is to create a transparent, respectful, and spirited environment where people are rewarded with opportunity and recognized for giving their personal best on behalf of themselves, the company, and our constituents. Our culture deeply rooted in our core values, which includes creating opportunity, enriching lives, and growing through innovation. We have teammates that model and take responsibility for creating an organization that upholds the following core values.
Create opportunities:
- We listen intently to our team members’ ideas & suggestions and include them in the process when their ideas are implemented.
- We reward deserving team members with promotions and project opportunities that will drive the business forward.
- We provide an environment for continuous learning and the ability to develop personally and professionally.
Enrich lives:
- We build trusting and transparent relationships by setting clear expectations and following through on commitments.
- We encourage deserving teammates to grow and learn new skills and expertise.
- We compensate fairly and, when appropriate, we pay for over performance.
Grow through innovation:
- We find ways to attack challenges and create fast solutions.
- We find ways to accommodate our teammates’ professional interests.
- We utilize technology to enhance our teammates’ work experience, allowing them to drive value instead of process.
PHYSICAL REQUIREMENTS
Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Physical requirements on a regular basis of this role include:
- Fingering: Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.
- Talking: Expressing or exchanging ideas by means of the spoken word in which one must convey detailed or important spoken instructions to others accurately, loudly or quickly.
- Hearing: Perceiving the nature of sounds at normal speaking levels or without correction. Ability to receive detailed information through oral communication, and make fine discriminations in sound.
- Visual: Required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; expansive reading.
The SCS Manager, is an exempt position with approximately 30% travel requirements.
This job description is not meant to be an all-inclusive statement of the duties of the position listed above. Other appropriate duties may be required from time to time.