claims operations manager

Comcare (Australian Government)

As part of the Claims Management Group (CMG), Claims Operations is a large, multi-disciplinary team delivering high quality claims management services. The team is made up of claims managers, senior claims managers, and employer account managers, with support from injury managers.The team collaborates to achieve positive health and return to work outcomes for employees and employers. Each Claims Operations team is assigned Australian Public Service (APS) portfolios, agencies or specialised claims and is accountable for the management of claims within their portfolio; relationship management for the agencies within that portfolio and achieving positive claim outcomes for that portfolio.Role OverviewThe Claims Manager works as part of a Claims team responsible for the management of workers' compensation claims. Claims Managers oversee a portfolio of claims including the engagement with claimants, employer representatives and medical/treatment providers to achieve positive health and return to work outcomes. The Claims Manager reports to the Assistant Director, Claims.Qualifications and Experience<ul><li>Desirable: Certificates or competencies in relevant disciplines such as claims or injury management, law, health, business administration or finance.</li></ul>Eligibility and Specific Conditions of Employment<ul><li>Character clearance (Australian Criminal History Check).</li><li>Employee Health Declaration.</li><li>Six months probationary period for new engagements.</li><li>Ability to obtain and maintain a Baseline Security Clearance.</li><li>Specific Conditions:</li><ul><li>Comcare supports flexible working arrangements (FWA); however, different types of FWA are suitable for different types of roles to meet operational requirements and minimise WHS risks. Remote/working from home arrangements may apply as an office/home hybrid arrangement in this role.</li><li>Incumbents in these roles may be required to participate in routine programs to support mental wellbeing, for example, wellbeing checks or group supervision.</li><li>Training and supports are provided for employees to manage client engagements and the expectations of the role.</li></ul></ul>How to applyPlease review the Job Information Pack below and provide a statement of claims with your responses outlining what you could bring to this position including your skills, experience and knowledge relevant to the job specific capabilities and role (maximum 2 pages).Please note: The vacancy closes at 11:59pm, Australian Eastern Daylight Time (Canberra, Melbourne, Sydney time). If you experience any issues with submitting your application, please contact .

APS5 Claims Manager

USAA

Why USAA?At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the choice for the military community and their families.Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.The OpportunityAs a dedicated Manager, Claims Operations, you will lead and be accountable for property, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. Develop engaged employees through regular coaching and feedback to deliver business results. Complete process improvements, provide feedback on the process and lead organizational process changes. Drive execution of operational risk management, regulatory compliance training, policies and, procedures.We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in the following location: Phoenix, AZ. Relocation assistance is not available for this position.What you'll do:<ul><li>Inspect and review quality of claim files and provide feedback to employees as appropriate.</li><li>Responsible for ongoing coaching and driving awareness so employees understand how their work and contributions support the overall claims and Enterprise strategies.</li><li>Proactively identify opportunities to improve operational effectiveness, member experiences and processes providing feedback to internal partners</li><li>Build conditions for success removes obstacles, leads and champions change.</li><li>Achieve optimal productivity through leading workload volumes, staffing, training needs, and identifying and implementing appropriate solutions.</li><li>Responsible for ongoing monitoring of work to ensure consistent execution of processes and adherence to guidelines and frameworks.</li><li>Handle escalations and make appropriate decisions based on the policy.</li><li>Facilitate and guide employees through skill identification and developing for career progression. Support projects by serving as a subject matter expert.</li><li>Hire, develop, and coach claims employees for results delivery.</li><li>Consistently coach employees on claims handling and find opportunities to improve overall process and engagement</li><li>Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li></ul>What you have:<ul><li>Bachelor's degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.</li><li>6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.</li><li>2 years of direct team lead, supervisory or management experience.</li><li>Experience using and interpreting data to make decisions.</li><li>Demonstrated leadership, initiative, customer service and/or claims handling skills.</li><li>Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role.</li></ul>What sets you apart:<ul><li>Existing manager or previous experience as a manager in property claims</li><li>5 years of property claims experience handling moderate severity Homeowners or Dwelling claims</li><li>Field property claims experience</li><li>Knowledge of property claims contracts and interpretation of case law</li><li>Residential construction experience</li><li>Experience with Xactimate, XactAnalysis and XactContents</li><li>Experience handling catastrophe claims</li><li>CPCU or other insurance industry designation</li><li>Ability to work weekends and overtime if needed</li><li>US military experience through military service or a military spouse/domestic partner</li></ul>Compensation range: The salary range for this position is: $103,450- $186,210.USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Manager, Claims Operations - Property CAT

Why USAA?At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the choice for the military community and their families.Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.The OpportunityAs a dedicated Manager, Claims Operations, you will lead and be accountable for property, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. Develop engaged employees through regular coaching and feedback to deliver business results. Complete process improvements, provide feedback on the process and lead organizational process changes. Drive execution of operational risk management, regulatory compliance training, policies and, procedures.We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in the following location: Phoenix, AZ. Relocation assistance is not available for this position.What you'll do:<ul><li>Inspect and review quality of claim files and provide feedback to employees as appropriate.</li><li>Responsible for ongoing coaching and driving awareness so employees understand how their work and contributions support the overall claims and Enterprise strategies.</li><li>Proactively identify opportunities to improve operational effectiveness, member experiences and processes providing feedback to internal partners</li><li>Build conditions for success removes obstacles, leads and champions change.</li><li>Achieve optimal productivity through leading workload volumes, staffing, training needs, and identifying and implementing appropriate solutions.</li><li>Responsible for ongoing monitoring of work to ensure consistent execution of processes and adherence to guidelines and frameworks.</li><li>Handle escalations and make appropriate decisions based on the policy.</li><li>Facilitate and guide employees through skill identification and developing for career progression. Support projects by serving as a subject matter expert.</li><li>Hire, develop, and coach claims employees for results delivery.</li><li>Consistently coach employees on claims handling and find opportunities to improve overall process and engagement</li><li>Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li></ul>What you have:<ul><li>Bachelor's degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.</li><li>6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.</li><li>2 years of direct team lead, supervisory or management experience.</li><li>Experience using and interpreting data to make decisions.</li><li>Demonstrated leadership, initiative, customer service and/or claims handling skills.</li><li>Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role.</li></ul>What sets you apart:<ul><li>Existing manager or previous experience as a manager in property claims</li><li>5 years of property claims experience handling moderate severity Homeowners or Dwelling claims</li><li>Field property claims experience</li><li>Knowledge of property claims contracts and interpretation of case law</li><li>Residential construction experience</li><li>Experience with Xactimate, XactAnalysis and XactContents</li><li>Experience handling catastrophe claims</li><li>CPCU or other insurance industry designation</li><li>Ability to work weekends and overtime if needed</li><li>US military experience through military service or a military spouse/domestic partner</li></ul>Compensation range: The salary range for this position is: $103,450- $186,210.USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Why USAA?At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the choice for the military community and their families.Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.The OpportunityAs a dedicated Manager, Claims Operations, you will lead and be accountable for property, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. Develop engaged employees through regular coaching and feedback to deliver business results. Complete process improvements, provide feedback on the process and lead organizational process changes. Drive execution of operational risk management, regulatory compliance training, policies and, procedures.We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Colorado Springs, CO. Relocation assistance is not available for this position.What you'll do:<ul><li>Inspect and review quality of claim files and provide feedback to employees as appropriate.</li><li>Responsible for ongoing coaching and driving awareness so employees understand how their work and contributions support the overall claims and Enterprise strategies.</li><li>Proactively identify opportunities to improve operational effectiveness, member experiences and processes providing feedback to internal partners</li><li>Build conditions for success removes obstacles, leads and champions change.</li><li>Achieve optimal productivity through leading workload volumes, staffing, training needs, and identifying and implementing appropriate solutions.</li><li>Responsible for ongoing monitoring of work to ensure consistent execution of processes and adherence to guidelines and frameworks.</li><li>Handle escalations and make appropriate decisions based on the policy.</li><li>Facilitate and guide employees through skill identification and developing for career progression. Support projects by serving as a subject matter expert.</li><li>Hire, develop, and coach claims employees for results delivery.</li><li>Consistently coach employees on claims handling and find opportunities to improve overall process and engagement</li><li>Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li></ul>What you have:<ul><li>Bachelor's degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.</li><li>6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.</li><li>2 years of direct team lead, supervisory or management experience.</li><li>Experience using and interpreting data to make decisions.</li><li>Demonstrated leadership, initiative, customer service and/or claims handling skills.</li><li>Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role.</li></ul>What sets you apart:<ul><li>Existing manager or previous experience as a manager in property claims</li><li>5 years of property claims experience handling moderate severity Homeowners or Dwelling claims</li><li>Field property claims experience</li><li>Knowledge of property claims contracts and interpretation of case law</li><li>Residential construction experience</li><li>Experience with Xactimate, XactAnalysis and XactContents</li><li>Experience handling catastrophe claims</li><li>CPCU or other insurance industry designation</li><li>Ability to work weekends and overtime if needed</li><li>US military experience through military service or a military spouse/domestic partner</li></ul>Compensation range: The salary range for this position is: $103,450- $191,970.USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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APS5 Claims Manager

Manager, Claims Operations - Property CAT

Manager, Claims Operations - Property CAT

Manager, Claims Operations - Property CAT

Manager, Claims Operations - Property CAT

Manager, Claims Operations - Property CAT

Manager, Claims Operations - Property CAT