Operations

• Perform assessments on multiple aspects of a claim journey, including SOPs, claims policies, contractual agreements, customer experience, and system functionality
• Provide recommendations to improve quality, workflow processes, policies, and system improvements
• Review and evaluate claim/process to determine if proper practices are followed
• Understand complex and highly technical processes to identify associated risks
• Maintain knowledge of multiple programs, products and terms and conditions
• Identify and report process improvements and assist in building new processes
• Provide detailed written feedback to managers for agent development and business operations
• Participate in calibration sessions to ensure review consistency across business units
• Track claim review results and handle research assignments and reporting as delegated
• Report to a claims team manager and collaborate with various teams

Operations Oversight and Process Specialist

Warehouse Operations Manager