TPA Team Lead - Mississauga, ON
Sedgwick
Mississauga, ON, Canada
6d ago

The TPA Team Lead is responsible for overseeing and leading the workflow of claims professionals to ensure regulatory compliance and to communicate and maintain strong relationships with Third Party Administrators.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

  • Designs and coordinates management and oversight of third party administrator claims.
  • Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements.
  • Oversees the work of assigned colleagues, including project assignment and workflow.
  • Manages and approves insurance and matured endowment claims.
  • Monitors management reports relating to the area / office performance.
  • Analyzes and performs audits to existing claims for liabilities and adherence to company standards.
  • Resolves and adjusts errors and complaints.
  • Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
  • Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
  • Provides support, guidance, leadership and motivation to promote maximum performance.
  • Performs other duties as assigned.
  • Supports the organization's quality program(s). QUALIFATIONS : Education & LicensingBachelor's degree from an accredited college or university preferred.
  • ExperienceFive to eight (5-8) years of related experience and / or training or equivalent combination of education and experience required. Skills & Knowledge

  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Good organizational skills, accuracy, and attention to detail
  • Good interpersonal skills
  • Good customer service skills
  • Ability to handle multiple projects and set priorities
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled
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