Director, Claims Operations

Choose your next journey with Millennium Trust Company and join a culture that empowers and where you can innovate. You will be celebrated, you will be challenged, and you can aspire to inspire. You are more than a colleague here; you are part of a COMMUNITY that goes ABOVE and BEYOND professionally and personally to make a difference. We believe in finding the best talent! While some roles are based at one of our office locations, remote roles can sit in any of the following states: AL, AZ, FL, GA, IA, IL, IN, MI, MN, MO, NC, NE, PA, SC, TN, TX, UT, VA and WV. Remote status and role locations are subject to change. Relocation is not provided.
Don't meet every single requirement? Here at Millennium, we believe there is NO "PERFECT" candidate and want to encourage applying even if all the requirements listed aren't met. Our goal is to build an authentic workplace by valuing diversity in our candidates. We work to ensure that our team reflects the diversity of the businesses and clients we serve. We are always looking to expand our growing team with dynamic and enthusiastic individuals. If you enjoy a collaborative, fun environment that champions career development, Millennium Trust is the place for you! We look forward to receiving your application! Check out a video on our Company Culture! Millennium Trust Culture
HOW YOU WILL SOAR:
The Director, Claims Operations, is responsible for the oversight of end-to-end claims processing and servicing in PayFlex, including claims adjudication, quality control, audit, appeals, and development of strategy for continuous improvement.

• Maintain a Center of Excellence including but not limited to claim adjudication according to standard and custom plan designs, claims appeals, audits to identify gaps and opportunities, acting upon identified areas of opportunity for process improvements, with a keen focus on the member experience
• Plan, direct and implement procedures that will assure a high level of member satisfaction
• Manage a team of professional employees, mangers, supervisors, and outsourced claims operations
• Execute strategic and operational plans to support business segment operational goals and projects
• Set team priorities, allocate resources, and develop plans for multiple related teams
• Ensure all important metrics and service levels are achieved.
• Implement standards to ensure delivery of quality-focused, member-focused, and consistent cost-effective administration
• Analyze operational practices for effectiveness and practicality, while creating a culture which is creative in its approach to solutions
• Establish a clear vision aligned with company values; set specific challenging and achievable goals and action plans; motivate others to balance customer needs, budgets, and business success
• Develop an organization that attracts diverse, member-focused talent able to achieve or exceed goals
• Build a cohesive team that works well together and across other business segment functions
• Lead team by providing guidance and mentoring
• Monitor operational plans to ensure delivery standards are maintained during facility shutdowns (anticipated or unanticipated)
• Develop business strategies for Claims Operations to support PayFlex goals and mission
• Ensure compliance outcomes are included in all plans and goals
• Other duties as assigned

IF YOU HAVE SOME OR ALL OF THE FOLLOWING, APPLY:

• Bachelor's Degree
• 7+ years of experience
• 3+ years of Leadership experience
• Claims adjudication, specifically in healthcare and preferably with consumer directed benefits (FSAs, HRAs, Wellness, etc.).
• Ability to set strategic direction.
• Excellent analytical skills with a proactive nature
• Strong organization skills with a drive to meet deadlines
• An affinity for accuracy and efficiency
• Proficiency in Microsoft Excel, Word (including mail merge) and Outlook
• Strong verbal and written communication skills
• An aptitude for prioritization and multi-tasking
• Strong collaboration skills
• A drive to learn and apply new concepts quickly

MILLENNIUM TRUST COMPANY is a rapidly growing, leading financial services company offering specialized retirement and institutional services and recently acquired PayFlex, a consumer directed benefits provider, to create a personalized, holistic approach to financial wellness. To that end, we provide a diversified multi-product business with a holistic focus on financial wellness. Millennium Trust has experienced year-to-year double digit growth and prides itself on its strong, progressive culture.
We have been recognized for our remarkable growth on lists such as Crain's Fast 50 and Inc. 5000, and for our outstanding workplace culture and benefits with Built In's 2023 Best Places to Work and Gallagher's 2022 Best-In-Class Employer awards.