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Manager, Claims

Job in Appleton, Outagamie County, Wisconsin, 54914, USA
Listing for: Hispanic Alliance for Career Enhancement
Full Time position
Listed on 2026-05-31
Job specializations:
  • Management
    Healthcare Management, Program / Project Manager, Operations Manager
Salary/Wage Range or Industry Benchmark: 60000 USD Yearly USD 60000.00 YEAR
Job Description & How to Apply Below

Manager, Claims

PRIMARY

PURPOSE:

To manage the technical and operational functions within assigned office(s) including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to be responsible for staffing and training needs; and to be responsible for budget preparation and profit and loss management. Has direct responsibility for 25-49 colleagues.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE
  • Responsible for overall operational management for assigned locations/offices.
  • Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements.
  • Establishes business plan with goal and objectives for the partnership and assigned locations/offices.
  • Monitors management reports relating to the partnership/office performance.
  • Assists with the coordination of sales and client service efforts.
  • Travels as required.
  • Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
  • Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
  • Provides support, guidance, leadership and motivation to promote maximum performance.
QUALIFICATIONS

Education & Licensing:
Eight (8) years claims management experience including two (2) years supervisory experience or equivalent combination of experience and education.

  • Baccalaureate degree from an accredited college or university preferred. Licenses as required.
  • Skills:

    excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, and leadership/management/motivational skills
Work environment requirements include -
  • Physical:
    Computer keyboarding
  • Auditory/visual:
    Hearing, vision and talking
  • Mental:
    Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

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