Director, Claims Funding Operations
Allied Benefit Systems, Chicago, IL, United States
Position Summary
The Director, Client Funding Operations oversees the Funding Teams and is responsible for leading the overall direction of the Funding Department. This position will frequently collaborate with cross-functional teams within Allied for new product development and existing process improvement, as it relates to financial operational impacts. This position ensures the accountability for achieving business goals in this department and across other Allied Teams. This position is also responsible for designing and implementing the most effective processes and procedures to ensure quality and department metrics are met.
Essential Functions
Oversee direction of Funding functions for ASO clients.
Work with Department Managers on the day-to-day operational functions to include, workflow management, inventory, staffing needs, systems, procedures, and reporting.
Collaborate with multiple departments including Claims, Stop Loss, Renewals, Invoicing and Treasury within Allied to ensure business objectives and performance standards are met.
Demonstrate proficiency in TPA Funding requirements for complex transactions and possesses the technical knowledge necessary to guide department in implementing best practices.
Assess current processes and procedures for innovative opportunities amongst teams.
Facilitate and oversee projects to support goals or innovation.
Design and implement policies and procedures most efficient to corporate directives and strategy.
Develop management staff to lead the team within business objectives.
Ensure that defined processes and quality standards are followed.
Analyze staffing needs based upon current volume of business and staff appropriately.
Fosters a sense of urgency and commitment to achieve goals.
Ability to troubleshoot daily issues that arise throughout each team.
Maintain direct report assignments, performance management and relative goals.
Continuous financial institution daily management.
Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent.
Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed.
Actively engage, coach, counsel and provide timely, and constructive performance feedback.
Performs other related duties as assigned.
EDUCATION
Bachelor’s degree in Accounting or equivalent experience
Experience And Skills
At least 7 years of Accounting, Financial Operations or similar experience required.
At least 5 years management experience required.
Insurance industry knowledge, especially in TPA Funding Workflow, is a requirement.
Intermediate skill in Access, Excel and Outlook required.
POSITION COMPETENCIES
Communication
Building Relationships/Shaping Culture
Cost Awareness/Budgeting
Leadership/Lead by Example
Business Acumen
Leading Innovation and Change
PHYSICAL DEMANDS
This is a standard desk role – long periods of sitting and working on a computer are required.
WORK ENVIRONMENT
Remote
Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.
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Essential Functions
Oversee direction of Funding functions for ASO clients.
Work with Department Managers on the day-to-day operational functions to include, workflow management, inventory, staffing needs, systems, procedures, and reporting.
Collaborate with multiple departments including Claims, Stop Loss, Renewals, Invoicing and Treasury within Allied to ensure business objectives and performance standards are met.
Demonstrate proficiency in TPA Funding requirements for complex transactions and possesses the technical knowledge necessary to guide department in implementing best practices.
Assess current processes and procedures for innovative opportunities amongst teams.
Facilitate and oversee projects to support goals or innovation.
Design and implement policies and procedures most efficient to corporate directives and strategy.
Develop management staff to lead the team within business objectives.
Ensure that defined processes and quality standards are followed.
Analyze staffing needs based upon current volume of business and staff appropriately.
Fosters a sense of urgency and commitment to achieve goals.
Ability to troubleshoot daily issues that arise throughout each team.
Maintain direct report assignments, performance management and relative goals.
Continuous financial institution daily management.
Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent.
Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed.
Actively engage, coach, counsel and provide timely, and constructive performance feedback.
Performs other related duties as assigned.
EDUCATION
Bachelor’s degree in Accounting or equivalent experience
Experience And Skills
At least 7 years of Accounting, Financial Operations or similar experience required.
At least 5 years management experience required.
Insurance industry knowledge, especially in TPA Funding Workflow, is a requirement.
Intermediate skill in Access, Excel and Outlook required.
POSITION COMPETENCIES
Communication
Building Relationships/Shaping Culture
Cost Awareness/Budgeting
Leadership/Lead by Example
Business Acumen
Leading Innovation and Change
PHYSICAL DEMANDS
This is a standard desk role – long periods of sitting and working on a computer are required.
WORK ENVIRONMENT
Remote
Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.
#J-18808-Ljbffr