Self-Funded Claims Manager

About the Role

Amwins Self-Funded is seeking a Claims Manager to oversee and support a dedicated claims team, optimize daily operations, and ensure outstanding client and partner service. This full-time position is primarily office-based in Scottsdale, AZ, with the option to work remotely up to two days per week following completion of training.

Why Join Amwins?

• Flexible work arrangements combining primarily in-office presence with hybrid options.
• Robust benefits from the start including competitive packages, generous paid time off, and paid holidays.
• Continuous professional development in a collaborative and education-driven culture encouraging growth.
• Opportunities to lead by coaching, refining processes, and enhancing experiences for clients and partners.
• Inclusion in an annual performance-based bonus program recognizing accomplishments and team success.

Key Responsibilities

• Lead daily operations and support for assigned claims team members, including recommendations on staffing, promotions, performance reviews, and disciplinary measures as needed.
• Manage team member performance through consistent feedback, accountability, training, and technical coaching, working alongside the Claims Lead to provide focused guidance.
• Collaborate with the Claims Quality team to utilize audit results for team development, monitoring quality trends, and request escalated audit support when necessary.
• Maintain the master list of groups and cases with all contractual claims service details within the Claims Department.
• Distribute client account assignments fairly based on workload considerations.
• Supervise the filing process for Stop Loss Claims within the department.
• Act as an expert resource on complex claims, overseeing high-priority submissions and providing team guidance relating to claims, correspondence, and procedures.
• Review claims and handle reimbursement filings and reporting to Stop Loss carriers when applicable.
• Generate and manage monthly claims reports and notifications to Stop Loss carriers as needed.
• Support the creation and implementation of policies, processes, and improvements that enhance claims operations.
• Work with the Director of Claims to maintain consistent, top-tier client service delivery.
• Foster constructive relationships both internally across departments and externally with carriers, brokers, consultants, and administrators to facilitate effective service.
• Partner with the Claims Trainer(s) to assess skill gaps, coordinate training initiatives, and promote team development.
• Perform additional duties and projects as assigned.

Required Qualifications and Skills

• Minimum two years management experience with a strong passion for leading, coaching, and developing personnel.
• Bachelor's degree preferred or alternatively 3–5+ years of experience in Group Benefits.
• Experience in claims or production environments for 3–5 years preferred.
• Proficiency with Microsoft Office suite, including Excel, Outlook, SharePoint, and Teams.
• Exceptional time management capabilities to prioritize workload and meet deadlines effectively.
• Strong collaboration skills for effective teamwork and respectful partnerships.
• Highly organized with excellent multitasking abilities.
• Clear, professional, and thoughtful communication skills for internal and external interactions.
• Meticulous attention to detail combined with follow-through and a sense of urgency.
• Leadership characterized by supportive, solutions-oriented approaches focused on team and organizational success.

Additional Information

This position is designed to support employees with disabilities through reasonable accommodations to perform essential functions. The job description summarizes core responsibilities and qualifications but does not encompass all possible duties.