Manager, Claims Processing

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
15 days ago