Manager, Claims Processing

Pets Best Insurance Services, LLC
TX, United States
Full-time
We are sorry. The job offer you are looking for is no longer available.

Manager, Claims Processing

Pets Best offers pet insurance and wellness plans for dogs and cats in every state. Founded in 2005 with a mission to provide access to comprehensive animal healthcare at an affordable price, Pets Best delivers flexible coverage, an easy claims process, and excellent customer service.

What You’ll Accomplish as a Claims Manager :

As a Claims Manager, you will virtually lead a team of non-exempts for the Claims Processor group. Providing leadership, coaching and development.

You will own full supervisory and administrative responsibilities for the team members, and also share with other leaders the responsibility overall for a positive, friendly culture in the department that is customer-centric, productive, and contributes to the growth of the business.

Your goal will be motivating and inspiring your team. As their leader, you are their mentor, helping them navigate our culture and realize their personal aspirations in a virtual environment.

What You’ll Do :

Champion Customers : Able to utilize critical thinking and problem-solving skills to solve complex claims issues, inquiries and disputes, provide accurate reporting and responses, and make determinations regarding claims processing.

Also, proven ability to identify process improvements for efficiency.

Act as Owners : Develop & implement virtual programs to motivate employees & stimulate a high sense of business ownership & urgency.

Relate and Inspire : Lead a team of virtual frontline employees and cultivate an environment of trust, teamwork &

foster a culture of collaboration and engagement.

Elevate Every Day : Provide virtual leadership, communication, coaching, mentoring, and development for a team of 15-25 nonexempt Claims Processors to drive continuous improvement, accuracy, and innovative solutions that create value for the business and your team.

  • Directly responsible for leading your team to success - driving performance management, ensure accuracy of claims processes, and ensuring your team is equipped to provide a positive customer / client experience.
  • Ensure appropriate risk for the business ensuring your team is familiar with and understands the importance of following operating instructions including compliance requirements.
  • Drive results by ensuring that your team is meeting or exceeding performance targets via OKR / KPI coaching and leadership.
  • Inspiring and connecting with each team member - cultivating an environment of trust, teamwork and personal ownership. Partnering with each team member to understand and help support their personal development.
  • Project management initiating, planning and executing on key business initiatives.
  • Be a business partner ability to understand and relate to the business objectives and provide strategic vision and a high-quality solutions.
  • Learning, staying abreast and complying with all claim’s compliance laws, rules and regulations.
  • Assists with claims processing function duties as needed to maintain daily turnaround time
  • Performs other duties as assigned

Experiences You’ll Need to Succeed :

Bachelor's degree or in lieu of a Bachelor Degree, a High School Diploma / GED and a minimum of 3 years experience in a veterinary clinic or like setting;

such as a practice manager, Lead Veterinary Technician, Animal Science Research, etc.

  • 3+ years clinical veterinary experience with a proficiency in medical terminology.
  • Leadership experience - Minimum of 2 years of proven experience leading a team - Be prepared to share with us some specific examples of how you’ve inspired your team and driven performance using qualitative and quantitative results
  • Flexible - The hours for this role are between 6 AM & 9 PM EST with a weekend rotation each quarter as manager on duty (comp day provided M-F the week prior).

This role could include some weekend shift as well as work on holidays like Black Friday and Thanksgiving.

Skills you have that will delight us :

  • 2+ years of Pet Insurance Claims Experience
  • 2+ years of performance / coaching experience
  • Property and Casualty (P&C) Adjuster License
  • Proven ability to make decisions based on quantitative / data analysis
  • Solution oriented mindset
  • Experience Executing performance management measures as necessary and in a timely and proactive manner
  • Experience with claims either for healthcare or pet insurance claims
  • Experience leading a team of 15+ team members - we love passionate leaders and want to hear your stories of leadership successes and learnings
  • Excellent organization, prioritization, time management skills - tell us your secret for staying on top of things.
  • Ability to lead and manage projects to completion, especially managing multiple projects simultaneously tell us about a project you’re most proud.
  • Proven track record of using sound judgment, decision making and problem solving - we want to hear about how you make decisions and how you solved a complex problem.
  • Ability to work with all levels across the business including senior leaders internally and with customers (or client s) we are a family at PBI and all our voices matter, tell us how you influence others.
  • Business acumen we want to understand how you connect the dots.
  • TIA knowledge and navigation proficiency
  • 30+ days ago
Related jobs
Valor Intelligent Processing
Dallas, Texas

MCI is seeking an experienced Insurance Call Center Claims Manager experienced in Property and Casualty and Life insurance to support complex business process outsourcing accounts. In this role you will oversee, monitor, and manage production supervisors and agents to ensure accurate and timely clai...

Promoted
Capital One
Paris, Texas

Manager, Information Security Office (ISO) Consultant. New York City (Hybrid On-Site): $201,400 - $229,900 for Manager, Cyber Technical. San Francisco, California (Hybrid On-Site): $213,400 - $243,500 for Manager, Cyber Technical. ...

Promoted
TEKsystems
Irving, Texas

Great communication skills and a knack for customer service. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. Assist customers with account inquiries, payments, information requests, title requests...

Promoted
POOLCORP
El Paso, Texas

The Operations Manager directs and coordinates activities involved with procuring products for sales and distribution. Operations responsibility for $5-10 Million wholesale warehouse type facility. ...

Promoted
Ansira Partners
Houston, Texas

Customer Service Representative (Remote) is responsible for handling incoming calls from clients' customers. This position provides customer service support and resolution of routine questions related to client's services or in-store offerings, working collaboratively with other team members and dep...

Promoted
Stinson LLP
Dallas, Texas

This Legal Administrative Assistant (LAA) position is a member of a 4-person Business Litigation LAA team. Legal Administrative Support (75%). Maintains chronological files and administrative files for assigned attorneys. General and Administrative (5%). ...

Promoted
Ivy Exec
Austin, Texas

Chairman, CEO, Partner, President, General Manager, Chief Financial Officer, Financial Director, Vice President of Finance, Accountant, Bookkeeper, Financial Controller, Accounts Receivable Manager, Finance Manager, Finance Analyst, Business Credit Analyst, Credit Manager, Risk Manager, Portfolio Ma...

Promoted
Waymo
Austin, Texas

Operations Safety Strategy & Compliance Manager. You will report to the Operations Safety and Readiness Lead and can be based out of Mountain View, San Francisco, Phoenix, Los Angeles or Austin. Stay abreast of emerging trends, technologies, and regulatory changes in the Operations safety landscape,...

Promoted
Adolfson & Peterson Construction
Austin, Texas

Prepare final written analyses on project profitability, profit enhancers, profit busters, and project problems for discussion in the close-out meeting and the permanent project records; provide explanations for all significant project cost variances, by cost code, on the intranet. Adolfson & Peters...

Promoted
University of Texas at Austin
Austin, Texas

Administrative Operations Manager, Office of Faculty Academic Affairs, Dell Medical School. In partnership with the Assistant Director of Office of Faculty Academic Affairs (OFAA) and the Appointment, Promotion, and Tenure (APT) Program Manager, the Administrative Manager will provide high level adm...