ECMC Group

Lead Operations Specialist, Claims

ECMC Group

full-time

Posted on:

Location Type: Hybrid

Location: MinneapolisMinnesotaUnited States

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Salary

💰 $27 - $33 per hour

Job Level

About the role

  • Assists with the coordination of daily workflow in the Claims department.
  • Researches and answers escalated questions or higher-level processes from other team members.
  • Conducts department training and provides quality assurance measures to ensure compliance and regulatory requirements are met.
  • Monitors, evaluates and provides feedback on the quality of work performed by team members.
  • Acts as a liaison between ECMC and service providers concerned in claims processing.
  • Analyzes data and trends related to department performance metrics to make recommendations for improvements.
  • Resolves data inconsistencies or inaccuracies through collaboration with internal customers.
  • Updates department procedures and ensures team members understand them.
  • Works on departmental projects and tracks progress for timely implementation.
  • Ensures compliance with regulations and maintains confidentiality of information regarding performance.

Requirements

  • High school diploma or GED
  • 5+ years of relevant work experience
  • 3+ years of experience in a claims environment or similar business function
  • Intermediate proficiency with mathematical skills and concepts
  • Intermediate proficiency in Microsoft Office suite or Mac Office, specifically with Word and Excel applications.
Benefits
  • Medical, dental, and vision insurance plan options, with a generous employer subsidy.
  • Company paid life & disability insurance, pre-tax flexible spending accounts and robust wellness programs.
  • Generous 401(k) plan with a company match up to 6% and additional discretionary contribution potential.
  • Holiday time off and paid time off accrual starting at 20 days/year.
  • Tuition reimbursement up to $10,500/year for approved programs and student loan payment reimbursement up to $4,800/year.
  • Up to $5,250 of qualifying education benefits can be reimbursed pre-tax.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
data analysisquality assurancecomplianceregulatory requirementsperformance metricsmathematical skillsMicrosoft OfficeExcelWord
Soft Skills
coordinationcommunicationtrainingfeedbackcollaborationproblem-solvingorganizational skills
Certifications
high school diplomaGED