This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13162968

The Manager Operations is responsible for the processing of all new enrollment and maintenance of group/individual insurance policies and responsible for the claims processing functions for all products sold by Advance Insurance Company of Kansas (AICK). The position oversees the development of policies and procedures related to administration and claims. The Manager Operations develops and maintains strong partnerships with brokers and Blue Cross and Blue Shield of Kansas (BCBSKS) marketing personnel as well as ensures that subsidiary activities are compatible and in support of the parent company.\ \

Why Join Us?

• Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.

• Lead and Inspire: Guide and mentor your team to achieve their full potential and success.

• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.

• Trust: Work for one of the most trusted companies in Kansas

• Stability: 80 years of commitment, compassion and community

• Balance: paid vacation and sick leave with paid maternity and paternity available immediately upon hire\

Compensation

\$96,800 \$115,000 annually\ Exempt 17

• Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individuals skills, education, experience, and training. The range may vary above or below the stated amounts.\

What youll do

• Direct and manage group policyholder division, the preparation of all AICK contract and certificates, including the establishment of all reports, as well as development of major policies and procedures related to all membership and billing processing.

• Direct and manage claims processing, including denial or approval of claims. Coordinate claims issues with internal staff and management as well as external customers and BCBSKS marketing personnel to ensure that claims are paid in an accurate and timely manner. Work with reinsurer if claim issues arise with regards to payments, complaints, investigations and/or litigation. Assure that all claim practices comply with ERISA guidelines and that AICK complies with NAIC unfair claims practices. Also work with BCBSKS legal counsel as needed.

• Participates in the formulation of the corporations overall policies and strategic planning regarding the operation of the life insurance subsidiary corporation. Prepare information for timely submission of reports and AICK Board materials.

• Assist with the life subsidiary budget, making sure appropriate allocation of expenses are prepared and monitored.

• Facets Product Owner. Develop, direct and recommend necessary system changes and modifications to insure efficient administration of policies and records. Evaluate and recommend new system software and hardware as needed.

• Examine and evaluate the workflow and administrative processes within the administration and claims areas. Develop procedures that assure efficiency and accurate administration of all group insurance policies.

• Oversee the preparation of commission/compensation procedures. Develop and recommend administrative procedures for reporting of commission/compensation agreements for agents and brokers.

• Must understand the functions of underwriting and ommunicate with them to ensure internal and state regulations are being followed accurately.

• Responsible for maintaining an awareness and understanding of the business unit recovery plan for the department you work in and the corporations business continuity program in general.

• Accountable for performance monitoring, policy enforcement, termination process, disciplinary action, hiring, compliance and team development. Maintaining accurate records of all hiring, firing and disciplinary actions.

What you need

Education and Experience

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A high school degree and proven work experience in insurance administration. Bachelors degree