Insurance Operations Manager

4 days ago

Manila, National Capital Region, Philippines EFlexervices Full time

About eFlexervices

eFlexervices is a 21-year-old BPO company renowned for delivering exceptional quality and fostering unshakable trust. Our approach is centered around finding the perfect match between talent and the organizations we support, investing in people, optimizing performance, and maximizing efficiency.

What We Are Looking For

We're not just hiring an Insurance Operations Manager - Revenue Optimization; we're empowering your expertise to deliver quality and performance. If you're ready to take your skills to the next level, join us in shaping success and making a meaningful impact.

Key Responsibilities

  • Team Management: Lead, coach, and mentor a team of insurance operations analysts, fostering a positive and collaborative work environment. Set performance goals and provide regular feedback to team members, supporting their professional growth and development. Conduct regular team meetings, training sessions, and performance evaluations to ensure team members are equipped with the necessary knowledge and skills.
  • Insurance Operations Process Management: Oversee the end-to-end insurance operations process, ensuring revenue is recorded accurately. Develop and maintain standardized procedures and guidelines for insurance activities. Serve as the system administrator and demonstrate expertise in department software tools (Comulate, etc.). Work with management on acquisitions and ensure a smooth transition of Cash Receipts/ Direct bill reconciliation into Epic for acquired entities. Collaborate with cross-functional teams to streamline processes and manage the billing disputes process.
  • Data Analysis and Reporting: Conduct in-depth analysis of insurance data to identify trends, patterns, and anomalies. Generate regular reports and dashboards to provide insights into insurance performance, revenue generation, and key metrics. Develop and implement data-driven strategies to optimize insurance operations and enhance financial outcomes.
  • Process Improvement: Continuously evaluate existing insurance processes and systems to identify areas for improvement. Recommend and implement process enhancements to drive operational efficiency, reduce costs, and increase accuracy. Perform regular audits and quality checks on insurance transactions to ensure accuracy, completeness, and compliance with established standards. Identify and mitigate billing-related risks, such as billing errors, fraud, or revenue leakage. Collaborate with IT teams to automate manual tasks and integrate billing systems with other business applications.
  • Stakeholder Management: Serve as a subject matter expert on insurance practices, providing guidance and support to internal teams and external clients. Collaborate with key stakeholders to gather requirements, address concerns, and optimize billing processes to meet business needs. Act as a liaison between finance, operations, and customer-facing teams to ensure alignment and effective communication.

Qualifications and Requirements

  • Bachelor's degree in finance, accounting, business administration, or a related field.
  • Minimum of 5 years of experience in insurance billing, preferably within a brokerage or agency environment.
  • Strong knowledge of insurance policies, premiums, and billing procedures.
  • Proficient in using Quickbooks.
  • Excellent attention to detail and ability to analyze complex billing data accurately.
  • Strong communication skills, both written and verbal, with the ability to interact effectively with clients and internal stakeholders.
  • Proven ability to multitask, prioritize work, and meet deadlines in a fast-paced environment.
  • Exceptional problem-solving skills and the ability to resolve billing issues efficiently.
  • Strong organizational and time management skills.
  • Proficient in Microsoft Office Suite, particularly Excel.

Benefits and Perks

  • Living Our Values: We don't just talk the talk; we walk the walk. From learning and personal growth to caring deeply about our team and clients, our values are the compass guiding our vibrant workplace.
  • Competitive Compensation: Your hard work deserves recognition. Enjoy a competitive salary and benefits package, including comprehensive HMO coverage and optical reimbursements.
  • Flexible Work Options: Work your way If you're outside Baguio City, embrace a permanent work-from-home setup. For those within Baguio, our hybrid work model offers the best of both worlds.
  • Wellness Matters: Recharge and refresh Our flexible vacation and sick leaves empower you to prioritize your well-being, ensuring a healthy work-life balance.
  • Pathways to Success: Your journey with us is brimming with growth opportunities. We're dedicated to nurturing your career and supporting your rise through the ranks.

About Us

At eFlexervices, we value individuality and success. Join our community of playmakers committed to fostering growth, learning, and personal connections. Ready to embark on an enriching journey? Let's thrive together.

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