Senior Manager, Claims Process

Description

The QB Lead within the USRM C&S Insights and Solutions organization is responsible for deploying & coordinating quarterback resources to cross-C&S priorities, accelerating complex, multi-domain initiatives and ensuring coordinated delivery. This leader will oversee the design and deployment of a standard approach, structure, artifacts, and communication flow for C&S strategic programs. This leader will be responsible for the overall execution and delivery of C&S strategic priorities, including AI-driven initiatives, as well as the escalation and resolution of risks across the portfolio.  The QB Lead collaborates with Claims & Service business owners, process owners, and product owners and with other functions across USRM to ensure shared focus, alignment, visibility and decision-making.  This leader manages a team of people leaders, driving clear goals and role modeling high performance in order to motivate and achieve outcomes.

 

Key Responsibilities

• Ensures appropriate level of staffing and resourcing based on complexity of each strategic priority
• Creates and shares standard monthly views of progress and risks across the portfolio level as well as for each individual priority
• Ensures each priority has a defined meeting cadence, decision-log, risk monitoring, etc.
• Monitors flow of decisions and risk and proactively escalates, when needed
• Monitors Business Owner/Quarterback partnership and engagement, and coaches QBs and/or escalates when misalignment or role creep emerges
• Provides senior-level coordination across the portfolio's highest-complexity and highest-visibility priorities, ensuring QBs have the support and alignment needed to keep delivery teams moving

Qualifications

• Demonstrate superior claims/process knowledge/experience
• Superior business operations knowledge to include understanding the function`s value chain and market conditions Displays a superior understanding of the function`s strategy (ie Claims) strategy
• Superior ability to design a strategic roadmap that is in full alignment with the LOB`s vision and the functional strategy
• Superior ability to adapt and address unique challenges in collaborative and creative ways
• Superior presentation, communication, organizational, influencing, and relationship management skills
• Demonstrated advanced change management leader, driving change initiatives while establishing and maintaining effective relationships
• Superior research, problem solving, analytical, and critical thinking skills
• Strong ability to select, develop, and engage staff, and to foster a collaborative environment
• Knowledge of available data sources/elements and associated strengths and shortcomings
• Advanced understanding of process mapping
• Competencies typically acquired through a bachelor`s degree or equivalent experience
• Advanced degree preferred
• In addition, a minimum of 12 years of experience in claims process, operations, or project management
• Similar experience in a field directly related to the applicable process would be considered
• Minimum of 5 years of experience working in an effective leadership and/or management capacity

 

Employees should review all role requirements and apply only for positions for which they are eligible. Hiring processes may vary by country, including differences in procedures, requirements, and timelines.  For country-specific details, please consult your local recruiting / HR team.

Travel

10%