Claims Payment Processing Manager

Description

At Windward Risk your leadership and expertise in claims payment processing will truly matter. At Windward Risk Managers, we’re investing in modern systems and people-first leadership.

The Claims Payment Processing Manager is responsible for overseeing the daily operations of a claims payment processing department to ensure claims are paid efficiently, accurately, and in compliance with company and regulatory guidelines. This role involves managing a team of claims payment processors, resolving complex issues, and implementing strategies to improve departmental performance.

Summary Of Responsibilities

• Work with existing team management to supervise, train, and develop a team of claims payment processors to ensure high performance and adherence to standard procedures.
• Manage and monitor the entire claims payment process, from initial submission to final payment, ensuring accuracy and timeliness.
• Enforce company policies regarding claims payment disbursement.
• Manage multiple payment channels, including both electronic payments and payments by check.
• Develop procedures for electronic claim payment handling. Work with a broad, cross-department team to implement an electronic claim payment platform.
• Serve as an escalation point for complex or high-value claim payments and resolve disputes with internal and external parties.
• Analyze claims data to identify trends, enhance workflows, and implement process improvements to increase efficiency and reduce costs.
• Act as a liaison with other departments (such as Claims, IT, and Customer Service) and external stakeholders (such as attorneys or vendors) to ensure effective coordination.
  
  

Qualifications

Required skills and qualifications

• A bachelor's degree in a relevant field such as Business, Finance, or Accounting.
• Experience: Several years of experience (5+) in payment processing or a related field, with a demonstrated track record of supervisory experience.
• Strong knowledge of claims payment processing workflows, regulatory requirements, and experience with electronic claims payment systems.
• Proven ability to lead, mentor, and motivate a team to achieve departmental goals.
• Ability to work with multiple source systems and understand how such systems integrate.
• Excellent analytical and problem-solving skills to interpret data, identify issues, and implement effective solutions.
• Exceptional written and verbal communication skills to interact with staff, management, and internal and external partners.
• Strong attention to detail and ability to maintain organization in a fast-paced, high-volume environment.