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Claims Operations Manager
1 month ago
We are seeking a dedicated Claims Operations Manager to lead a team of Auto Injury Examiners. As a Claims Operations Manager, you will be responsible for leading and managing a team of claims professionals who are responsible for investigating, evaluating, and negotiating claims. You will develop and implement process improvements, provide feedback on the process, and lead organizational process changes. You will also drive execution of operational risk management, regulatory compliance training, policies, and procedures.
Key Responsibilities- Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
- Inspect and review quality of claim files and provide feedback to employees as appropriate.
- Responsible for ongoing coaching and driving awareness so employees understand how their work and contributions support the overall claims and Enterprise strategies.
- Proactively find opportunities to improve operational effectiveness, member experiences, and processes providing feedback to internal partners.
- Create conditions for success, removes obstacles, leads, and champions change.
- Achieves optimal productivity through handling workload volumes, staffing, training needs, and identifying and implementing appropriate solutions.
- Responsible for ongoing monitoring of work to ensure consistent execution of processes and adherence to guidelines and frameworks.
- Handle escalations and make appropriate decisions based on the policy.
- Facilitate and guide employees through skill identification and developing for career progression.
- Support projects by serving as a subject matter expert.
- Hire, develop, and coach claims employees for results delivery.
- Consistently coach employees on claims handling and find opportunities to improve overall process and engagement.
- 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.
- 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.
- 2 years of direct team lead, supervisory, or management experience.
- Experience using and interpreting data to make decisions.
- Demonstrated leadership, initiative, customer service, and/or claims handling skills.
- Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role.
- 4+ years Auto Injury Claims experience
- 2+ years auto large loss bodily injury (BI)/uninsured motorist (UIM) experience
- Current or recent experience as a Claims Manager/Supervisor
- Experience handling auto injury claims for the State of Washington.
- Experience applying advanced knowledge to provide guidance for complex claim settlements that mitigate risk of litigation.
- Experience developing and delivering targeted quality coaching within Injury Operations area for more effective lawsuit avoidance.
- Demonstrated experience proving guidance to team members on escalated complex claims issues.
- US military experience through military service or a military spouse/domestic partner.
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. The salary range for this position is: $99,160 - $189,530.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
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.