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Description SHIFT: Day JobSCHEDULE: Full-timeYour Talent. Our Vision. At HealthSun, a proud member of the
Anthem, Inc. family of companies, it’s a powerful combination, and the
foundation upon which we’re creating greater access to care for our members,
greater value for our customers, and greater health for our communities. Join
us and together we will drive the future of health care. This is an exceptional opportunity to do
innovative work that means more to you and those we serve at one of America's
leading health benefits companies and a Fortune Top 50 Company.Manager
II ClaimsWork
Location – Must be able to report to office in Coconut Grove, FL. Not eligible to work from home.Responsible
for providing oversight of claims staff. 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. Manages all claims Operations for entire
company, inventory matrix, Regulatory/Compliance matrix. Hires, trains, coaches, counsels, and
evaluates performance of direct reports. Requires
BA/BS; 3 years previous management experience and 2-3 years claims experience;
or any combination of education and experience, which would provide an
equivalent background.Anthem, Inc. is ranked as one of
America’s Most Admired Companies among health insurers by Fortune magazine and has
been named a 2019 Best Employers for Diversity by Forbes. To learn more about
our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.REQNUMBER: PS39681
