Claims Manager - Self-Funded

About the Role

Join Amwins Self-Funded as a Claims Manager to lead a dedicated claims team, enhance daily operations, and deliver outstanding client service. This position is primarily onsite at Glendale, AZ, with the potential for up to two work-from-home days weekly after completing training.

Why Work With Us?

• Flexible hybrid work schedule supporting work-life balance.
• Competitive benefits including paid time off and holiday pay from day one.
• Opportunities for continual learning, skill enhancement, and career advancement.
• Leadership role with influence on team coaching, process improvements, and client experience.
• Performance-based annual bonus program rewarding contributions and success.

Primary Responsibilities

• Oversee daily operations and support Claims team members, including involvement in staffing, promotions, evaluations, and disciplinary actions.
• Drive performance management via regular feedback, accountability, training, and technical guidance.
• Collaborate with Claims Quality team to utilize audit outcomes for team development and quality monitoring.
• Maintain master records of group cases and contractual claims parameters.
• Manage client case assignments according to workload distribution.
• Supervise filing processes for Stop Loss Claims.
• Act as a subject matter expert addressing complex or high-priority claims and advising team on submissions and related communications.
• Review claims, process reimbursements, and provide necessary filing and reporting to Stop Loss carriers.
• Produce monthly claims reports and notifications to carriers as needed.
• Participate in developing and enhancing policies and procedures for Claims operations.
• Partner with the Director of Claims to ensure consistent superior service delivery.
• Foster strong relationships internally and externally, including with carriers, brokers, and consultants, to promote client service excellence.
• Work with Claims Trainers to identify skill gaps and coordinate training initiatives supporting team development.
• Manage additional duties and special projects as assigned.

Required Qualifications

• At least 2 years of management experience demonstrating leadership, coaching, and team development abilities.

Preferred Qualifications

• Bachelor's degree or 3 to 5+ years in Group Benefits-related roles.
• Experience ranging from 3 to 5 years in claims or production environments.
• Proficiency using Microsoft Office tools such as Excel, Outlook, SharePoint, and Teams.
• Strong time management skills with effective prioritization to meet deadlines.
• Excellent collaboration, organizational, multitasking, and communication skills.
• Detail-oriented with a proactive approach and urgency to complete tasks.
• Supportive and solution-focused leadership style committed to team and organizational success.

Additional Information

This description outlines the key duties and requirements but is not exhaustive. Reasonable accommodations will be made to help individuals with disabilities perform essential functions.