Senior Manager, TPA Claims Operations

Posted 9 Days Ago
Be an Early Applicant
4 Locations
Senior level
Insurance
The Role
The Senior Manager, TPA Claims Operations oversees the claims operations, managing business analysts and ensuring efficient TPA relationships through invoice processing, funding requests, and reconciliation. The role requires effective communication with internal and external partners, conducting audits, and identifying training needs within the team.
Summary Generated by Built In

Starr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world.
Cornelius Vander Starr established his first insurance company in Shanghai, China in 1919. Today, we are one of the world’s fastest growing insurance organizations, capable of writing in 128 countries on 6 continents.

Starr is looking for individuals who bring "passion" and "drive" to work with them every day. There's no shortage of opportunities as we continue to grow. Come join our amazing team today!

Location: Atlanta/Alpharetta

Alternative Location: Philadelphia or Chicago

This position will serve as Claims Operations point of contact, agreement, and invoice liaison at Starr for Third Party Administration (TPA) financial and compliance related functions. It will provide responsive and pro-active support to internal and external parties as it relates to TPA related items. This role will be responsible for the management of Business Analysts that provide operational support for TPA invoice processing, escrow funding, payment/loss data reconciliations and TPA system access controls.
This position reports to the AVP/VP of Claims Operations and works independently with TPA business partners and internal operations and profits center leadership. This senior leader will manage a fast paced, dynamic and flexible team responsible for managing the various aspects of TPA relationships. 

·         This role will be responsible for the management of teams of Business Analysts that provide operational support for Starr TPA’s including invoice processing, escrow funding, payment/loss data reconciliations and TPA system access controls.

·         Balance team project deliverables to ensure a high number of completed items and positive relationships with internal and external partners.

·         Analyze and effectively communicate broader operations aspects to help influence decisions across departments and Profit Centers.

·         Process TPA invoices in a timely manner, identifying gaps and collaborating with management to resolve items with Starr’s best business practices in mind.

·         Manage funding requests from each TPA including quarterly evaluations to ensure TPA funding requests are appropriate and controlled within funding guidelines.

·         Perform monthly reconciliations of Starr related bank accounts.

·         Conduct regular stewardship meetings with Starr’s TPA partners to ensure that all parties are meeting the requirements of the Claim Service Agreements.

·         Use professional communication skills to proactively facilitate discussions around concerns and manage updates to successful completion with limited direction.

·         Offer subject matter support to all internal and external partners, providing analysis and recommendations with each interaction.

·         Act as primary group/internal liaison for the TPA and/or escalated customer issues.

·         Identify gaps and proactively communicate training needs within the team.

·         Coordinate all TPA audits – both Internal Audits as well as Technical Claim File Audits.  This coordination will require an understanding of the claims business as well as the financial controls necessary to manage a Carrier/TPA relationship. 

Qualifications:

·         Bachelor’s degree in related field or comparable work experience.

·         Experience in an insurance carrier is preferred

·         Demonstrable analytical skills.

·         Background working with agreements, invoices, and financial reconciliations is preferred.

·         Direct client relationship management experience: including the ability to independently manage high profile strategic relationships.

·         Sound judgment in making critical business decisions.

·         Ability to analyze data, determine root cause, and provide and/or develop an appropriate solution for resolution.

·         Flexible, adaptive, and comfortable in a dynamic environment.

·         Must be proficient in Microsoft Office products including: Word, Excel and PowerPoint; .

·         Demonstrated ability to multi-task, work under pressure, think analytically and communicate effectively.

·         Excellent communication skills both written and oral (with internal and external business partners).

#LI-LS1

Starr is an equal opportunity employer, which means we'll consider all suitably qualified applicants regardless of gender identity or expression, ethnic origin, nationality, religion or beliefs, age, sexual orientation, disability status or any other protected characteristic. We recruit and develop our people based on merit and we're committed to creating an inclusive environment for all employees. We offer first class training and development opportunities to all employees. Our aim is to grow our own talent and bring out the best in people.

Top Skills

Excel
The Company
HQ: New York, New York
2,935 Employees
On-site Workplace
Year Founded: 1919

What We Do

Starr Insurance is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world.

Cornelius Vander Starr established his first insurance company in Shanghai, China in 1919. Today, we are one of the world’s fastest growing insurance organizations, capable of writing in 128 countries on 6 continents.

Starr has the global knowledge, vision and relationships to help your company succeed, anywhere you do business.

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