WC Medical Programs Workflow Specialist

1 month ago

Alpharetta, United States CHUBB Full time

The Workers’ Compensation Medical Programs Workflow Specialist role combines business process modeling skills, insurance knowledge, and analysis to document activities, tasks, and processes ensuring they are as efficient and effective as possible, and the best WC Claim product is being delivered to Chubb clients. Supporting Medical Programs and working with strategic vendor partners, Claims, Claim Centers, Operations and Claim Compliance, you will leverage your process-driven, analytical, communication, and process documentation skills to record, identify, define, and suggest process reengineering, automation, and future state transformation use cases and ensure strategic priorities and transformation strategies are fully implemented and functioning effectively. This position will work a 3/2 Hybrid model at one of our offices located in Chicago, IL, Dallas, TX, Alpharetta, GA, New Haven, CT or Philadelphia, PA.

In this role you will:

Conduct discovery, research, interviews, and analysis to gather, document and update various Claims, Operations, Vendor etc. processes and workflows. Create business process documentation (Visio process maps, high level summaries, workflows, to understand procedure steps, interdependencies, resource usage, and applications used to complete transactions. Lead implementation of Medical Programs strategies within the WC Discipline, ensuring effective communication to all stakeholders, and confirming effective implementation through ongoing measurement and reinforcement.  Be a key member of the WC Discipline team, collaborating with peers, and engaging every level of staff, to identify opportunities for improvement, being accountable for delivering assigned responsibilities, and contributing to the overall quality of the claim product being delivered to our customers. Collaborate on development of training content and resource material for WC staff, understanding target audience is both new and experienced employees.  Develop and maintain data dashboards, reports, and visualizations to present complex data in a clear and concise manner.  Assist with Medical Programs billing management and preparations of team scorecards, snapshots and partner with vendor management to create vendor dashboard and analyze data. Manage team IT tickets/change forms, assist with Expressions/letter review and refresh. Help design, support and document future state resolutions that may include process reengineering, automation, product simplification, optimizing capacity utilization, streamlining/simplifying systems, improving customer experience, and reducing issues and pain points.  Manage and direct the effective implementation of new technologies and the use of existing systems. Participate in key projects as assigned, both as individual contributor and project leader. Embrace and champion the use of new technology and aid in its implementation.

Core Competencies

Demonstrated leadership to interact collaboratively and work effectively with a multi-functional team and throughout the organization; fosters an environment of shared responsibility and accountability. Proven ability to manage organizational change, to involve and influence others to accept new ideas or innovative approaches, to lead in a team-based organization. Excellent written and verbal communication skills, with a proven ability to convey complex concepts in simplified terms, maximizing understanding while minimizing unnecessary detail. Demonstrated relationship management skills, vertically and horizontally. Achieving deliverables without direct management of stakeholders. Strong analytical skills, with the ability to handle multiple priorities, meet deadlines, and work independently to manage projects with proficiency in developing and/or revising policies and procedures. Awareness of digital and analytical resources available within Chubb and the industry that may benefit our WC claim handling process, product offerings, and/or our staff. Possess a high level of personal accountability. Continuous improvement mindset. Takes ownership, overcomes obstacles, and consistently delivers sustainable results. Execute tasks with quality, within deadlines, and a positive impact on customer experience. Possess learning agility; quickly grasp new concepts and emerging technology, proactively seeks out learning. Ability to prepare presentation documents and present to senior leadership. Advanced skills in Excel and PowerPoint.  Ability to develop reports, metrics, and improvement plans.

Education and Experience 

Bachelor's degree and 3+ years of experience in the financial services industry. Workers’ Compensation claim handling experience and workflows experience.  Business process modeling (BPM), workflow documentation, or training delivery experience/certifications. Proficiency with process documentation tools (Visio, PowerPoint, Lucidchart, .

The pay range for the role is $71,500 to $115,000. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found at . The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.

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