Pay Philosophy
The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Description
We're looking for a Claims Process Owner to drive Medical Specials Accuracy. This role involves working with teams to enhance processes, stay updated on industry trends, and ensure claim accuracy.
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In this role, you will get to:
- Innovate: Identify and implement process improvements.
- Lead: Introduce new tools to stay ahead of industry trends.
- Impact: Explore Ensure accurate Casualty claims.
- Expertise: Knowledge of third-party medical billing trends.
- Skills: Proficiency in medical bill coding and pricing.
- Organization: Project manage national implementations.
- Fully owns and is accountable for delivering results and strategy for end to end lower complexity process, complex process step, cross line of business process step, or multiple process steps to drive to a best in class state.
- Has a high degree of understanding of technical content and business knowledge in all relevant business /claim process areas.
- Provides the insight needed to support the end to end strategy. Demonstrates advanced structured problem solving skills and systems thinking to identify root causes and develops understanding of systemwide impact to claims processes/performance.
- Leverages data to drive decision making and develops other alternative approaches in the absence of data to inform direction / quality of solution while understanding process performance at a granular level through a combination of a deep insight into metrics and process observations.
- Proactively assesses the operational health of the end to end process or process step(s), including competitive positing/benchmarking, and develops action plans to address gaps/opportunities as needed.
- Prioritizes work and plans effectively for high complexity operational change management and implementation of designed solutions within one or more end to end workflows or core processes.
- Implements solutions across the field organization with managerial direction.
- Build strong relationships with enablers/stakeholders through collaboration and influence decision making at varying levels of the business operation. Develops own strategic thinking by partnering with leadership to understand complex issues.
- Independently and expertly develops process maps for their process(es) leveraging technical process mapping tools and strategically communicates findings/monitoring results to stakeholders.
- Advanced knowledge of Casualty claims handling practices and process improvement.
- Demonstrates advanced understanding of third-party medical billing trends and drivers including medical bill coding and pricing methodologies.
- Ability to collaborate with data offices, analytics and other groups to understand trends, develop and implement solutions that drive results.
- Demonstrates superior claims/process knowledge/experience
- Advanced business operations knowledge to include understanding the functions value chain and market conditions
- Displays a solid understanding of the functions strategy (ie:Claims) and ensures strong alignment with the process(es) owned
- Proven ability to manage the process life cycle for multiple processes of varying complexity, as part of implementing business process changes
- Advanced presentation, communication, organizational, influencing, and relationship management skills
- Proven success leading change initiatives while establishing and maintaining effective relationships
- Displays strong research, problem solving, analytical, and critical thinking skills
- Knowledge of available data sources/elements and associated strengths and shortcomings
- Strong understanding of process mapping tools; can build process maps with no direction, and can help inform best practices in process mapping technology
- Solid knowledge of database software preferred
- Knowledge of business intelligence tools preferred
- Competencies typically acquired through a bachelor`s degree or equivalent experience
- Advanced degree preferred
- In addition, a minimum of 9 years of advanced leadership in claims process, operations, or project management
- Similar experience in a field directly related to the applicable process would be considered
As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally.
At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow.
We are proud to support a diverse, equitable and inclusive workplace, where all employees feel a sense of community, belonging and can do their best work. Our seven Employee Resource Groups (ERGs) offer a centralized, open space to bring employees and allies together to connect, learn and engage.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://LMI.co/Benefits
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
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