Operations Manager, Claims

Posted 2 Days Ago
Be an Early Applicant
Minneapolis, MN, USA
In-Office
80K-95K Annually
Senior level
Edtech • Other
The Role
Lead and oversee claims adjudication and payment operations, ensure compliance with regulations, manage staff performance and training, streamline processes, support audits and system conversions, and manage special projects to improve efficiency and accuracy.
Summary Generated by Built In

ECMC Group is a nonprofit corporation focused on helping students succeed. Headquartered in Minneapolis, ECMC Group and its family of companies provide financial tools and services, as well as funding for innovative programs to help students achieve their academic and professional goals.

    Job Summary

    The Manager of Claims provides leadership and oversight of the department functions including timely and accurate adjudication and payment of claims, responding to servicer and third-party guarantor service client inquiries and performing quarterly servicing audits on claims paid. In addition, this leader is responsible for coaching, providing work direction to employees, managing performance and ensuring timely, accurate processing and adherence to procedures, policies and federal regulations. This role includes a significant level of technical involvement and oversight of complex electronic files and system processes.

    Essential Duties and Responsibilities

    • Provides support and guidance to employees including claim review, resolution and policy interpretation.
    • Monitors workflow between the Claims department and other internal/external partners to ensure seamless process flows.
    • Creates and monitors performance metrics; assesses training needs and oversees training development and delivery.
    • Ensures completion of all regulatory reporting and tracking.
    • Streamlines and updates department processes, increases efficiencies, maintains compliance and improves claim processing and payments; implements and drives those enhancements through team engagement.
    • Maintains strong knowledge of industry regulations and program changes, as well as other external changes that impact operational processes, customer needs and compliance requirements.
    • Manages and ensures completion of special projects, including intake, workplan and follow through to completion.
    • Hires, trains and manages department staff to include coaching, conducting performance management reviews and addressing issues and concerns.
    • Provides support to audits and program reviews with internal and external entities.
    • Interacts as an essential member of project teams for loan conversions, system upgrades and infrastructure changes.
    • Performs other duties and responsibilities as assigned.

    Required Qualifications

    • High School diploma or GED
    • 3+ years of supervisory/leadership experience
    • 5+ years of experience managing an operational or processing function
    • Prior customer service experience relevant to the role

    Preferred Qualifications

    • Post-secondary degree
    • Prior experience working in the student loan or financial services industry
    • Claims management experience

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    The pay range for this position is $80,000 - 95,000. Actual compensation may vary based on factors such as relevant experience, peer and market benchmarks, and geographic location. Additionally, this position qualifies for an annual incentive of up to 15% of base salary, contingent upon individual and company performance.
    This position is classified as hybrid and requires attendance on designated in-office days.

    ECMC Group also provides a comprehensive benefits package:  

    • Health & wellness benefits: Medical, dental, and vision insurance plan options, with a generous employer subsidy. Company paid life & disability insurance, pre-tax flexible spending accounts and robust wellness programs.
    • Financial benefits: Generous 401(k) plan with a company match up to 6% and additional discretionary contribution potential, holiday time off, paid time off accrual starting at 20 days/year and commuter subsidy.
    • Education benefits: Tuition reimbursement up to $10,500/year for approved programs and student loan payment reimbursement up to $4,800/year. Up to $5,250 of qualifying education benefits can be reimbursed pre-tax.

    Skills Required

    • High School diploma or GED
    • 3+ years of supervisory/leadership experience
    • 5+ years of experience managing an operational or processing function
    • Prior customer service experience relevant to the role
    • Post-secondary degree
    • Prior experience working in the student loan or financial services industry
    • Claims management experience
    Am I A Good Fit?
    beta
    Get Personalized Job Insights.
    Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

    The Company
    HQ: Minneapolis, MN
    1,153 Employees

    What We Do

    ECMC Group is a nonprofit corporation with a mission to help students succeed. All companies in the ECMC Group family work together to fulfill this mission through product and service support and by funding its philanthropic activities through ECMC Foundation.

    Similar Jobs

    PwC Logo PwC

    Consultant

    Artificial Intelligence • Professional Services • Business Intelligence • Consulting • Cybersecurity • Generative AI
    Remote or Hybrid
    60 Locations
    370000 Employees
    99K-232K Annually

    Circle Logo Circle

    Lead KYC Analyst

    Blockchain • Fintech • Payments • Financial Services • Cryptocurrency • Web3
    In-Office or Remote
    25 Locations
    1050 Employees
    140K-185K Annually

    PNC Bank Logo PNC Bank

    Technology Solution Center Analyst

    Machine Learning • Payments • Security • Software • Financial Services
    Remote or Hybrid
    USA
    55000 Employees
    38K-88K Annually

    Wipfli Logo Wipfli

    Transaction Advisory Services Manager

    Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
    Remote or Hybrid
    United States
    3000 Employees
    117K-158K Annually

    Similar Companies Hiring

    ReUp Education Thumbnail
    Social Impact • Edtech
    Austin, TX
    180 Employees
    Learneo Thumbnail
    Software • Machine Learning • Edtech • Artificial Intelligence
    NL
    397 Employees
    CodePath.org Thumbnail
    Edtech • Social Impact
    San Francisco, CA
    55 Employees

    Sign up now Access later

    Create Free Account

    Please log in or sign up to report this job.

    Create Free Account