Operations Manager

Robert Half is working with a well established, Edmonton-based insurance company to help them find a dynamic leader to develop and manage their new Health & Dental claims group.

Responsibilities:

• Establish, mentor and lead a new claims processing team by fostering a collaborative environment that prioritizes accuracy, efficiency and employee engagement.
• Design and implement health and dental claims processing workflows that ensure timely and compliant handling of claims.
• Create a client service culture and embed client engagement by inspiring and motivating the claims team to provide the best claims experience in Canada.
• Conduct regular health and dental claim file reviews and performance assessments, to identify and evaluate trends to optimize processes and provide recommendations for technology enhancements.
• Possess excellent communication strategies to handle disputes and escalations, working with claimants and Plan Sponsors to find fair resolutions.
• Assist in the evaluation for a new Health and Dental Claims Adjudication software partner.

Qualifications:

• 3+ years experience of leading a Health & Dental claims adjudication team.
• 5+years experience in group benefits Health and Dental Claims adjudication.
• Bachelor’s degree in Human Resources, Business Administration or equivalent.
• An insurance designation is considered an asset (LOMA, CEBS (GBA), ICA, etc.).

Required Skills

• Excellent organizational, analytical and interpersonal skills with the ability to manage multiple priorities.
• Strong problem-solving and decision-making abilities.
• Excellent communication skills with the ability to convey complex information clearly to various stakeholders.
• Proficient in MS Office Suite (e.g. Word, Excel, Outlook, and PowerPoint).

This is a unique opportunity for an experienced Manager looking for a new challenge. In addition to a competitive salary, a comprehensive total rewards package is offered. Apply today!