Job Details

Join Our Team as a Lead Claims Auditor at Stealth Partner Group, an Amwins Group Company!

Take on a pivotal role in the growth and success of our organization as a Lead Claims Auditor. This is an in-office position that offers the flexibility to work from home up to 2 days a week.

Why Choose Amwins? At Amwins, we value our team members and offer a range of benefits to enhance your work experience:

• Flexibility: Enjoy a hybrid work environment with flexible scheduling options.
• Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
• Continual Learning: Thrive in a collaborative, education-focused work environment.
• Annual Bonus Program: Earn rewards through our bonus program after just one year of employment.

Responsibilities

As a Lead Claims Auditor, you will:

• Build Relationships: Develop and manage claims service relationships with internal Sales Executives, Account Executives, and Account Managers.
• Professional Communication: Communicate professionally and timely with carriers, administrators, clients, and brokers.
• Process Improvement: Assess Analyst processes to enhance efficiency, accuracy, and the quality of the claim reimbursement process.
• Workload Management: Plan, prioritize, and complete day-to-day workload for assigned accounts, considering new and renewal business, and day-to-day service responsibilities.
• Training and Development: Assist in the ongoing training and development of Claims Analysts and Senior Claims Analysts on the team.
• Review and Guidance: Review and provide guidance on claim submissions, correspondence, and processes completed by the team.
• Team Engagement: Engage in proactive and regular dialogue with team members, addressing performance concerns and additional training needs.
• Effective Communication with Management: Communicate regularly with the Claims Manager regarding team needs or concerns, processing issues, trends, and efficiency suggestions.
• Claim Management: Maintain claim management responsibilities for the assigned book of business.
• Adaptability and Leadership: Handle other duties and projects as assigned, showcasing adaptability and strong leadership skills.

Qualifications

To excel in this role, you'll need:

• Thorough Business Understanding: A thorough understanding of Stealth's business model and the products we work with.
• Education and Experience: A college degree and 2 to 3 years of equivalent work experience are preferred.
• Leadership Experience: 1-3 years of strong leadership and/or management experience is strongly preferred.
• Auditing Experience: Experience in auditing and/or quality assessment programs is preferred.
• Technical Proficiency: Proficiency with Microsoft Office products, including Word, Excel, Outlook, and PowerPoint.
• Confidentiality: Ability to maintain strict confidentiality.
• Organizational Skills: Strong organizational skills and the ability to prioritize tasks.
• Communication Skills: Ability to effectively communicate, both written and verbally, with internal and external parties.

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.