Claims Support Quality Coordinator

Company: Texas Association of School Boards

General Information
US-TX-Austin
N/A
High School
Full-Time
At least 2 year(s)
Not Specified
False
False
Job Description Claims Support Quality Coordinator

 

The Texas Association of School Boards (www.tasb.org) is a private non-profit association located in NW Austin. TASB offers a "family friendly" work environment, competitive salary and excellent benefits. TASB has been ranked a “Best Place to Work in Central Texas” for eight of the past nine years.

 

We currently have an opening for an experienced Claims Support Quality Coordinator to work in a fast-paced Risk Management Services department.

 

Responsibilities include:

  • Analyze, clarify and resolve issues and errors in claims intake and support process; operate independently and exercise sound decision-making that reflect member and operational focus in analyzing potential solutions for an issue; tackle problems using a logical and systematic approach
  • Review problems and communicate in a timely manner with appropriate personnel to obtain and provide feedback and information, when necessary, and manage cross-functional stakeholder response to ensure specialized or escalated issues are fully resolved
  • Help to coordinate with other divisions to establish and maintain quality standards in the claims intake and support process, requiring the acquisition and possession of subject-matter knowledge in activities as it relates to claims, especially considering impact of quality on downstream activities
  • Assist with identifying process and procedure gaps that inhibit ability to serve members’ and internal stakeholders’ needs and maintain a mindset to improve processes and associated documentation; actively contribute to creating and maintaining department procedures, training documentation such as job aides, quality guidelines, and workflow diagrams to achieve data consistency, and quality metrics as needed; share knowledge with peers and other stakeholders
  • Continue to proactively seek comprehensive knowledge of RMS business processes in order to identify and offer suggestions for improvement, including opportunities for automation in the claims process
  • Serve as the primary reviewer of claims intake data entry and support activities in a high-volume production environment in order to evaluate adherence to quality and service level standards, identify errors and take immediate and appropriate corrective action; perform claims intake and support work, as needed, in order to meet department service level standards in quality and productivity
  • Assist in the implementation, testing and validation of data in various systems and programs
  • Assist with various technology and business process projects from discovery through implementation
  • Participate in special projects and performs other duties as assigned
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    Skills and Abilities:

  • Possess high standards for service delivery and work output for self and others, always seeking to improve
  • Has a strong sense of urgency about solving problems and delivering on commitments
  • Excellent computer skills with demonstrated proficiency with MS Office products and ability to work in multiple, complex software systems and quickly learn new technology
  • Sees the big picture and has ability to dig into details, with ability to use critical thinking skills to connect the dots when appropriate
  • Excellent written and verbal communication skills
  • Takes initiative - can identify what needs to be done and does it before being asked or situation requires it
  • Proven time management skills ensuring work is done productively and accurately with minimal supervision; understand how to prioritize work relative to objectives and goals
  • Ability to independently apply problem-solving and analytical skills and take ownership of issues from initiation to final resolution
  • Ability and willingness to pull one’s own weight and contribute to team success; works as a team player
  • Maintains commitment to goals in the face of obstacles and frustrations
  • Possess emotional intelligence with ability to manage own emotions and influence others’
  • Manages ambiguity, maintains composure, and is resourceful when presented with an unfamiliar issue and can determine the best course of action and confidently execute
  • Ability to adapt to change, meet the changing demands of the work environment, handle any unexpected requests while maintaining a positive attitude
  • Embraces coaching and feedback for continuous improvement
  • Actively fosters a collaborative work environment
  • Awareness and knowledge of insurance industry related to claims for multiple lines of business, specifically workers’ compensation, automobile, liability and property coverage
  •  

    Requirements:

  • High school diploma or equivalent required.
  • Minimum two years of experience working in a complex problem-solving role
  • Insurance or risk management experience considered beneficial
  •  

    Excellent employee benefits and amenities: medical/dental/life/disability insurance • retirement plan • paid holidays • generous paid leaves • free parking • on-site childcare/fitness/dry cleaning service/ATM • and more!

     

    "TASB seeks to foster diversity in its organization, programs, and events. Diversity promotes creativity and enables TASB to better understand and respond to its members’ unique needs." TASB is an equal opportunity employer and will not discriminate on the basis of an individual's race, color, disability, religion, sex, national origin, or age.  TASB does not sponsor H-1B visas.

     

    This position is subject to a background check. Any job offer is contingent upon receipt of results of a satisfactory background check.

    Job RequirementsRequirements:

    • High school diploma or equivalent required.
    • Minimum two years of experience working in a complex problem-solving role
    • Insurance or risk management experience considered beneficial