AVP, Claims Operations-Workers Compensation

Leads the improvement to the Workers' Compensation business model to include workflows, process and KPIs. This includes development and execution of improvement strategies and activities in claims handling through strong collaboration with claims leadership and leveraging best practices. The position requires both strategic and tactical capabilities to drive continuous improvement and enhanced business results.Location:

This role is National in scope and can work remote or out of any of our Regional Hubs.

Manage a team of 5-7 field claim operation leads
• Develop and execute improvement strategies in claim handling best practices, loss costs and customer service
• In partnership with claims senior leadership, develop and continually refine the end to end claim handling model, process and workflows for effectiveness and efficiency
• Work in partnership with the WC line of business lead to set the overall strategy, ensuring delivery and execution; partners and aligns with the Claims strategy team on priorities and any enterprise initiatives impacting the PAL line of business.
• In partnership with Claims and IT business leads, identify and deliver improvements in automation and data management
• Ensure consistency in process, use of claim systems/applications, delivery of service and customer experience
• Evaluate and implement improved standard operating procedures
• Serve as the lead in developing an annual capacity plan and budget, provide monthly/quarterly forecast and trends, identifies and implements corrective action plans
• Serve as the project lead on key improvement efforts
• Prepare timely and informative management reports, business cases and cost benefit reviews
• Serve as the lead in working with claims reporting and analytics to design and develop reporting dashboards and tools in support of business goals and objectives
• Develop and oversee compliance with operational guidelines in support of internal audit, state compliance and regulatory requirements
• 10+ years claims operations experience or related field
• Strong verbal and written communication skills
• Advanced analytical skills
• Ability to prepare presentation documents and present to senior leadership
• Advanced computer skills to include Microsoft Products
• Proven ability to manage organizational change, to involve and influence others to accept new ideas or innovative approaches, to lead in a team-based organization

• 10+ years claims operations experience or related field-Workers Compensation Claims experience desired.
• Strong verbal and written communication skills
• Advanced analytical skills
• Ability to prepare presentation documents and present to senior leadership
• Advanced computer skills to include Microsoft Products
• Proven ability to manage organizational change, to involve and influence others to accept new ideas or innovative approaches, to lead in a team-based organization