Advantage Tech is looking for a Claims Operations & Analytics Manager for a client of ours located in Columbia, MO. This position can offer a hybrid-remote work schedule and will be full-time/direct hire.
ESSENTIAL FUNCTIONS
- Lead, mentor, guide, hire, train, and develop claims personnel in claims activities, related to business operations, and data analytics to achieve department and corporate objectives.
- Act as Product Owner for Columbia Insurance Group instance of Guidewire Claims Center
- Act as Product Owner for all Claims related SaaS vendor solutions, which includes contract management, IT security engagement, coordination of ongoing SLA's, coordination of performance improvement plans, etc.
- Act as primary point of contact for all TPA partnerships, which includes contract management, IT security engagement, coordination of ongoing SLA's, coordination of performance improvement plans, etc.
- In collaboration with the senior leaders develop a strategy for reporting strategic Claims KPI's across departments
- In conjunction with Claims field leadership, lead the data and analytics governance process for internal Claims operational reporting.
- Act as business lead for all statutory, regulatory, and bureau required Claims data calls and statistical reporting. Work with IT to create/approve any required data reports, validate, and release to appropriate stakeholders.
- Work closely with external and internal auditors to support audit activities and participate in audits, as needed, to monitor and analyze compliance within file activities.
- Corporate function liaison to include IT security, ERM, financial reconciliation such as 1099, OFAC, and escheatment.
- Support claims VP by overseeing day-to-day operational management of budget setting and monitoring, headcount, and departmental projects.
- Lead the Claims onboarding and department training program.
- Development claim KPI reporting, maintenance, and delivery of data to teams and management.
Required Qualifications
- At least 5 years of /Business Operations/ Product Owner Lead experience
- At least 3 years' experience in a supervisory position
- Thorough understanding of ISO Commercial manuals, rating, and statistical plans.
- Excellent communication and customer service skills.
- Claims experience and knowledge of claim duties/operations
Preferred Qualifications
- Prior experience implementing a new core insurance suite
- Experience in designing and developing enterprise level strategies.
- Experience in development of claim reports and analyzing of data
EDUCATION QUALIFICATIONS
- Bachelor's Degree required
- Advanced degree and/or certification preferred