Claims Process Improvement Lead

 POSITION SUMMARY 

The Claims Process Improvement Lead is responsible for the implementation of new projects in the Claims Distribution and Repricing Department. The Claims Process Improvement Lead will coordinate and ensure delivery of project deliverables on time. The Claims Process Improvement Lead must be knowledgeable of systems and programs. The Claims Process Improvement Lead will gather information on processes used by Claims Distribution and Repricing department to find ways to improve or enhance internal processes and workflows.The Claims Process Improvement Lead will communicate recommendations to Claim Distribution and Repricing Management for Workflow and SOP improvement.

ESSENTIAL FUNCTIONS 

• Lead department related projects: Including project initiation, project timelines, meetings, and on-going communications with internal and external stakeholders
• Work with department Leadership to understand current operations and procedures. Provide suggestions to optimize systems, procedures, and processes
• Acts as a primary point of contact for department project implementation and communicates project-related updates internally and externally 
• Provide guidance to optimize systems, procedures, and processes
• Lead department related projects: Including project initiation, project timelines, meetings, and on-going communications with internal and external stakeholders
• Work with department Leadership to understand current operations and procedures. Provide suggestions to optimize systems, procedures, and processes
• Acts as a primary point of contact for department project implementation and communicates project-related updates internally and externally 
• Provide guidance to optimize systems, procedures, and processes
• Other duties as assigned

EDUCATION

• Bachelor’s Degree or equivalent work experience required.

EXPERIENCE AND SKILLS

• Previous experience managing large amounts of data with an understanding on how to process that data 
• Strong analytical skills to help improve Workflows and SOPs
• Experience Smartsheet, SharePoint and Excel required
• Advanced computer skills and knowledge of databases and software systems
• Ability to collect and analyze complex data.
• Strong spreadsheet skills
• Strong organizational and time management skills
• Effective oral and written communication skills
• Strong Business Acumen

POSITION COMPETENCIES

• Accountability
• Analytical Thinking
• Collaboration
• Communication
• Customer Focus
• Functional Expertise
• Initiative

PHYSICAL DEMANDS

• This is a standard desk role – extended periods of sitting and working on a computer are required

WORK ENVIRONMENT  

• Remote

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.