Insurance Claim Service Manager I

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Insurance Claim Service Manager I manages day-to-day service activities for one claim-related function in a contact center setting. Develops and implements claim servicing policies and procedures, and ensures that team members meet or exceed performance standards for quality and volume. Being an Insurance Claim Service Manager I identifies opportunities for system and workflow improvements and recommends changes in operational processes. Ensures compliance with State Insurance Department regulations. Additionally, Insurance Claim Service Manager I may be responsible for reviewing and processing highly complex or high-value claims. May require a bachelor's degree in a related area. Typically reports to a manager or a head of department. The Insurance Claim Service Manager I supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. To be an Insurance Claim Service Manager I typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes.