Workforce Absence Operations Manager

• Oversee technical and operational functions, including compliance with company standards and industry best practices
• Ensure consistent delivery of quality services
• Oversee staffing and training needs
• Oversee budget preparation and profit and loss management
• Directly manage fewer than 25 colleagues
• Oversee the internal quality review process and report monthly
• Assure compliance with client internal controls, audit requirements, and service agreement requirements
• Establish business plans with goals and objectives for assigned clients
• Ensure claims management policies and procedures meet service standards, state statutes/regulations, disability plan documents, industry best practices, and client service requirements
• Establish and maintain client contacts
• Perform other duties as assigned
• Support the organization's quality programs
• Travel as required
• Administer company personnel policies and follow staffing standards and training recommendations
• Interview, hire, and establish colleague performance development plans
• Conduct colleague performance discussions
• Provide support, guidance, leadership, and motivation to promote maximum performance

• Bachelor's degree from an accredited college or university preferred
• Licenses as required
• Professional certifications appropriate to line of business preferred
• Eight (8) years claims management experience or equivalent combination of education and experience required
• Two (2) years supervisory experience
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Leadership/management/motivational skills
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiation skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies
• All candidates must live near one of the listed centers of excellence

Demonstrates extensive experience in claims management, compliance with industry standards, and effective leadership in team performance and development. Proficient in budget management, quality assurance, and client relationship management.

• Claims Management Experience
• Supervisory Experience
• Leadership Skills
• Analytical Skills
• Microsoft Office Proficiency

• Claims Management
• Budget Preparation
• Quality Assurance
• Performance Development Plans
• Compliance Management
• Internal Controls
• Audit Requirements
• Service Agreement Compliance
• Training Needs Assessment
• Client Service Requirements

• Excellent Communication Skills
• Interpersonal Skills
• Negotiation Skills
• Organizational Skills
• Team Collaboration

• Professional Certifications

• Compliance
• Industry Best Practices
• Disability Plan Documents
• Performance Competencies
• Colleague Performance Discussions