- Perform Claim Processor duties for complex or escalated cases.
- Oversee cases from onboarding to documentation, filing, approval, and payout.
- Manage Claim Processors, conduct case audits, and facilitate performance reviews.
- Train, onboard, and coach the team on claim processing accuracy and efficiency.
- Own and achieve monthly Filing to State Fee targets.
- Monitor pipeline health to prevent revenue leakage.
- Analyze pipeline data to identify bottlenecks and implement process improvements.
- Serve as the first line of escalation for claimant concerns and complex disputes.
- Identify and implement technology solutions to enhance operational scalability.
SalesforceProcess improvementCRM