SHIFT: Day Job
Your Talent. Our Vision.
At HealthSun, a proud member of the Anthem, Inc. family of companies, it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
Manager II Claims
Work Location - Must be able to report to office in Coconut Grove, FL. Not eligible to work from home.
Responsible for providing oversight of claims staff. Primary duties may include, but are not limited to:
Establishes departmental policies and procedures. Audits/monitors efficiency and compliance with policies.
Prepares specialized reports. Serves as subject matter expert for other areas of the company as well as within the department. Provides policyholder relationship management.
Manages operational risk. May be accountable for deliverables of a third party or vendor. Manages multiple functions requiring unique sets of knowledge or has significant fiscal accountability over and above routine people/equipment costs.
Manages all claims Operations for entire company, inventory matrix, Regulatory/Compliance matrix. Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requires BA/BS; 3 years previous management experience and 2-3 years claims experience; or any combination of education and experience, which would provide an equivalent background.
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.