Job Application - World Insurance Associates

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Employee Benefits Technology Support Manager - Burlington, IA

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Position Summary

  • The Technology Support Manager acts as a bridge from Senior Leadership translating higher-level strategies and goals into operating plans to drive our business. This position leads and guides the work of technical staff by planning, organizing and measuring results and making modifications where necessary to assure deadlines, standards and cost targets are met.

 

Essential Duties and Responsibilities

·       Develop and maintain computerized records to store and process data which may include agent and client information, plan designs and enrollments

·       Direct, supervise and evaluate work activities of TPA personnel

·       Conduct training of personnel and lead the department by setting a positive tone, display and inspire teamwork, proactively break down silos between departments

·       Develop and implement organizational policies and procedure with a focus on continuous improvement and LEAN office principals, analyze internal processes and recommend and implement procedural or policy changes to improve operations

·       Conduct and administer discal operations, including accounting, planning budgets, authorizing expenditures, establishing rates for services and coordinating financial reporting

·       Confer with senior leadership to develop methods and procedures to increase sales, expand markets and promote business

·       Provide effective communication including one-on-one, small groups, large groups, email and social media

·       Listen to and resolve customer complaints regarding services, products or personnel

·       Set goals and deadlines for the department; monitor staff performance to ensure goals and KPIs are met

·       Manage requests and project execution, monitor and track project milestones and deliverables

 

Qualifications

·       Bachelor’s degree or equivalent work experience

·      2-3 years of experience in TPA industry with proven success in achieving profitability and growth goals

·       Ability to learn new software systems and how to build interfaces       

·       Knowledge of SQL, eligibility and electronic claim filling and remittance processing, 270/271, 834, 820, 835, 837 and EDI transactions for healthcare      

·       Ability to understand plan documents, plan designs, benefit language such as out of pocket maximums, co-pays, coinsurance, deductibles and ability to effectively communicate on these tops with agents

·       Broad based business knowledge with emphasis on TPA regulations, IRS, DOL, HHS, HIPAA, HITECH and ERISA

·       Possess strong administrative and computing skills, including Microsoft Office (Word, Excel and Power Point)

·       Able to work independently and enjoy a high degree of interaction with team members.

·       Self-motivated and driven. Maintain a sense of urgency and ability to work with and meet deadlines.

·       Demonstrate effective written and verbal communication, including the ability actively listen, and problem solve with minimal assistance.

·       The ability to multi-task, prioritize, work independently, and use discretion surrounding sensitive information.

·       Ability to maintain a professional demeanor and positive attitude