Health Insurance Claims Operations Manager

3 days ago


Dublin, Dublin City, Ireland Irish Life Group Services Limited Full time
About the Role: We are seeking a highly motivated and driven individual to join our Health Claims Service team as a Claims Team Lead. The successful candidate will be responsible for ensuring high-quality standards are maintained at all times, working to achieve service and quality standards, and striving towards the perfect customer experience.

In this role, you will be part of a driven team that is committed to delivering exceptional results. You will work closely with the Health Claim Service Manager to ensure the smooth running and overall effectiveness of the Claims Operations team. Your key responsibilities will include:

* Coordinating the day-to-day activities of the team, ensuring effective communication and collaboration among team members
* Overseeing the service levels for our providers interaction activities (Voice & Email), claim productivity targets, and ICD coding requirements to ensure KPIs are met
* Ensuring all claim payments are made to the right payee, at the right time, with a focus on accuracy

The ideal candidate will have an APA qualification (or equivalent) and ideally 5 years' experience in the insurance industry. They will be customer-focused, motivated to make a difference, and play a significant part in delivering business objectives.

Key Skills and Qualifications:
* Clinical background to support the development of the ICD coding internal team
* Self-starter with the ability to act on own initiative
* Ability to develop and implement training plans and successful rollout to team members
* Excellent stakeholder management skills

About Us: Irish Life Group Services Limited is one of Ireland's largest financial institutions, providing health insurance to over 500,000 people across Ireland. Our vision is to help people live healthier lives, and we focus on providing access to healthcare solutions that will help our customers achieve this.

We offer a comprehensive benefits package, including competitive salaries and bonuses, robust Learning and Development support, excellent Defined Contribution pension, and comprehensive Wellbeing initiatives.

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