NJM Insurance Group

Director, Service Operations

NJM Insurance Group

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $152,500 - $208,110 per year

Job Level

Lead

About the role

  • Effectively direct customer service and claims processing operations on a departmental/product/program basis to meet organizational and customer needs and applicable goals Leverage key internal and external relationships to access the information, products and resources necessary to successfully support the core activities of customer service and claims processing Direct departmental operations to ensure timely, consistent achievement of prescribed goals including departmental performance targets, divisional quality & production standards, key enterprise priorities, Service Level Agreements (SLAs) and Performance Guarantees (PGs) Hire, develop and retain high quality staff including coaching & mentoring, evaluating job performance, providing meaningful, timely feedback and appropriately addressing performance issues Manage departmental budget, including all salary and non-salary costs, within established guidelines Leverage knowledge, experience, data and tools to forecast, prepare for and respond to changes in inventory and/or greater business need/climate Champion process/ workflow improvements within or across departments/divisions Develop/influence successful partnerships, interfaces and communications with key enterprise departments to drive goal achievement Capitalize on existing technology, optimizing system capabilities Identify and elevate opportunities to incorporate new technology into processes and workflows Lead high profile internal and/or external workgroups, presenting findings to appropriate leadership teams Accountable for maintaining effective internal controls over the processes and transactions under areas of responsibility

Requirements

  • High School Diploma/GED required Bachelor degree preferred or relevant experience in lieu of degree Minimum of ten (10) years management experience required Successful track record managing large staff groups (150+ FTEs) preferred Knowledge of health insurance products required Experience directing health plan operations preferred Experience managing in a fast paced, high volume, transaction-driven environment necessary Call Center/insurance claim management experience preferred Experience managing in a Union environment preferred Requires familiarity with systems implementation, insurance terminology, and health plan operations Ability to manage multiple, dynamic work assignments and priorities, as well as diverse work/product teams Ability to communicate successfully with all levels of management, including those at the highest level of the organization Proven project management skills Strong leadership, strategic problem solving, analytical and interpersonal skills Exceptional written and verbal communication skills Travel: Min of 10% travel may be required