Claims Services Manager - IMT Insurance

WHO WE ARE

IMT is proud of our heritage and will never forget where our roots are firmly planted. Locally run from its office in West Des Moines, Iowa, IMT has been a Midwest company since it was founded in Wadena, Iowa in 1884. That’s 140 years!

Today, IMT continues to offer a strong line of personal and commercial insurance products for which it has always been known, along with exceptional service for a competitive price. Our products are offered through Independent Agents throughout a six-state territory – Iowa, Illinois, Minnesota, Nebraska, South Dakota and Wisconsin.

CLAIMS SERVICES MANAGER/SR. MANAGER

IMT Insurance is looking for an experienced and highly motivated Claim Services Manager/Sr. Manager who will play a pivotal role in overseeing various aspects of claims operations to ensure efficiency, compliance, and customer satisfaction. This position demands a strategic thinker with a keen eye for detail and experience in managing and implementing complex claims processes. The successful candidate will be responsible for providing strategic direction, overseeing claims operations, fostering a customer-centric culture, and ensuring the highest standards of service delivery and compliance. They will be responsible for the leadership and management of the service team personnel and will partner with Claims leadership to understand, implement, and monitor key initiatives that will enhance the customer experience and improve team productivity by developing and overseeing training strategies, initiatives, and processes and procedures for the claims team. Apply online today!

A DAY IN THE LIFE

• Supervises and trains Claims Services personnel.
• Manage relationships with all external vendors for the department to ensure quality service delivery and adherence to service-level agreements.
• Oversee contract negotiation, execution, and compliance related to claims operations, ensuring alignment with organizational objectives and regulatory requirements.
• Analyze claims data and performance metrics to identify trends, patterns, and areas for improvement.
• Oversee the claims system infrastructure, ensuring its functionality, optimization, and integration with other relevant platforms.
• Manage subrogation efforts to recover claim costs from liable third parties, including coordination with legal counsel and negotiation with other insurers.
• Ensure adherence to Medicare regulations and guidelines in claims processing, including timely reporting, reimbursement, and coordination of benefits.
• Direct the Special Investigation Unit (SIU) team in identifying, investigating, and mitigating instances of fraud and suspicious claims activity.
• Lead cross-functional projects related to claims operations, collaborating with internal stakeholders to achieve project objectives within scope, budget, and timeline constraints.
• Ensure compliance with all relevant laws, regulations, and industry standards governing claims operations, including regular audits and reporting.
• Continuously assess and refine claims processes and procedures to streamline operations, reduce costs, and enhance the customer experience.
• Manage regular audits of claims files to assess compliance with company standards, regulatory requirements, and industry guidelines.
• Develop and implement policies, procedures, and best practices to optimize claims handling efficiency and effectiveness.
• Collaborate with other departments to identify and mitigate emerging risks and ensure consistent claim outcomes.
• Develop and execute strategic plans to enhance claims operations, drive process improvements, and achieve organizational objectives.
• Provide regular reports and updates to senior management on claims operations, performance, and key initiatives.

DESIRED QUALIFICATIONS

• A college education or equivalent and 10+ years of experience in Property & Casualty Insurance or related claims knowledge, with a minimum of 5 years in insurance claims operations management, with specific expertise in project management, compliance, audit management, and vendor and contract management.
• Strong knowledge of insurance policy coverage, liability, auditing standards, regulatory compliance requirements and Medicare regulations.
• Experience with claims systems and proficiency in data analysis and reporting.
• Demonstrated leadership skills with the ability to coach, mentor, develop, motivate and inspire teams to achieve goals and objectives.
• Proven track record of developing and implementing strategic plans, managing change, and driving continuous improvement.
• Detail-oriented with strong organizational and time management skills.
• Strong problem-solving abilities and the ability to drive results.

BENEFITS & PERKS

At IMT Insurance, we are committed to our employees and their families. Joining our team means far more than just a paycheck. Our office, established in 2018, offers a fitness room, game room, and various collaboration areas. This position includes hybrid work arrangements, learning and development opportunities, and more!

Below is a list of what IMT offers our employees

• Medical, dental, and vision insurance

• AD&D insurance

• 401K retirement savings accounts

• Spending accounts

• Long and short-term disability

• Profit share

• Employee assistance program

• Additional voluntary benefits

The salary range for this position is $75,000.00 - $160,000.00.

Starting salary and level of position will depend on level of experience. Sr. Manager may be considered depending on experience.

WHAT DEFINES US

Our vision is to provide peace of mind in the moments that matter.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant based on race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class.

Our agents and customers come from all walks of life and so do we. Our goal is to hire great people from a wide variety of backgrounds, because it makes our team stronger. If you share our values and our passion for creating a Worry Free life for others, we want to talk to you!