Manager I/II-Claims-VA-68230
WellPoint - Richmond, VA

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WellPoint is one of the nations leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to simplify the connection between health, care, and value for our customers.

Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.

Manager I/II Claims

(hiring level based on experience)

This position is located in the Richmond, VA office.

The Manager I Claims p rovides oversight for claims staff – this is a supervisory position that will manage a team of 20 to 30 claims examiners. Primary duties may include, but are not limited to: establishes departmental policies and procedures. Provides quality control services by monitoring work results of direct reports. Performs audits to monitor efficiency and compliance with policies. Hires, trains, coaches, counsels, and evaluates performance of direct reports.

The Manager II Claims provides oversight of claims staff - this is a supervisory position that will manage a team of 20 to 30 claims examiners. Primary duties may include, but are not limited to: establishes departmental policies and procedures. Audits/monitors efficiency and compliance with policies. Prepares specialized reports. Serves as subject matter expert for other areas of the company as well as within the department. Provides policyholder relationship management. Manages operational risk. May be accountable for deliverables of a third party or vendor. Manages multiple functions requiring unique sets of knowledge or has significant fiscal accountability over and above routine people/equipment costs. Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Job Qualifications

Manager I

Strong written, oral, and interpersonal communication skills; strong analytical, organizational ability & PC skills required.

Requires BA/BS.

1 year in a leadership role in addition to 2 years related experience; or any combination of education and experience, which would provide an equivalent background.

Manager II

Requires BA/BS.

3 years previous management experience in addition to 2-3 years claims experience.

Excellent written, oral, and interpersonal communication skills; excellent analytical and organizational ability; or any combination of education and experience, which would provide an equivalent background.

Once an offer is accepted, all external applicants are subject to a background investigation
and if appropriate, drug testing. Offers of employment shall be contingent upon
passing both the background investigation and drug testing (if required).

  • Current WellPoint associates: All referrals must be submitted through the formal
associate referral process on WorkNet. Official guidelines for the associate referral
program can be found in My HR.

  • WARNING : Please beware of phishing scams that promote work-at-home opportunities and may also pose as legitimate companies. Please be advised that a WellPoint recruiter will never ask you for a credit card or any type of payment as part of consideration for a role with our company. All of our careers require that you first complete an online application on our wellpoint.com/careers web site.
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About this company
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WellPoint, Inc. (WellPoint) is a health benefits company serving 35 million medical members, as of December 31, 2008. The Company is an...