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Manager, Claim Administration

Blue Cross Blue Shield of Michigan · Lansing, Michigan, US

SUMMARY Provide leadership and direction to a claims operational team. Act as a primary, independent, visionary and proactive authority; providing in-depth a...

Job description

SUMMARY: Provide leadership and direction to a claims operational team. Act as a primary, independent, visionary and proactive authority; providing in-depth analysis of claims operational areas including statistical, industrial and regulatory perspectives. Provide operational consistency and integrity to claims. Serve as a technical expert with regard to department operations. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Directly manage and carry out managerial responsibilities in accordance with enterprise policies and applicable laws. Responsibilities include interviewing, hiring and training employees, planning, assigning, and directing work, appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems. - Plan, direct, manage and evaluate the day-to-day operations and workflow of production, claims management and customer teams. - Consult with claims management across the organization to provide necessary claim support and ensure most productive and cost-effective ways to conduct business. - Responsible for staying current on changes in workers’ compensation statutes and cases, as well as...