Our Ability Jobs

Working Title: Senior Manager of Claims Administration

Job Class: State Program Administrator, Manager Senior

Agency: Department of Employment and Economic Development

• Job ID : 76603

• Location : St. Paul

• Telework Eligible : Yes, May be eligible to telework up to four (4) days per week

• Full/Part Time : Full-Time

• Regular/Temporary : Unlimited

• Who May Apply : This vacancy is open to all qualified job seekers

• Date Posted : 05/10/2024

• Closing Date : 05/31/2024

• Hiring Agency/Seniority Unit : Employ & Econ Development Dept / Employ & Econ Dev -Managerial

• Division/Unit : Paid Family & Medical Leave / PFML-Management

• Work Shift/Work Hours : Day Shift- 8:00am to 4:30pm

• Days of Work : Monday - Friday

• Travel Required : No

• Salary Range: $41.51 - $59.72 / hourly; $86,672 - $124,695 / annually

• Classified Status : Classified

• Bargaining Unit/Union : 220 - Manager/Unrepresented

• FLSA Status : Exempt - Executive

• Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes

The work you'll do is more than just a job.

At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.

Position Purpose:

The Senior Manager of Claims Administration plays a critical role in our organization by providing strategic leadership and oversight to adjudicate all submitted Paid Leave claim applications (140,000 claims expected annually). As the incumbent, you will be responsible for managing the day-to-day activities of the claims process, ensuring high-quality adjudication and optimizing team performance. Additionally, you’ll lead employer support and exemptions, including executing grant payments. Reporting to the Chief Operating Officer, you’re key to the overall success of our division.

About the Paid Leave Division:

Paid Leave is a new program launching in 2026. The program will provide partial wage replacement to Minnesota workers who are out of work due to a qualifying condition, such as a severe health condition that prevents them from working, or when they need time to care for a family member or a new child.

We are building a program that will be easy for every Minnesotan to use. We are engaging the people who depend on us—workers, employers, caregivers, and insurers—to learn from them and build the program around their needs. We are using modern service delivery and product practices to deliver the program.

The Paid Leave team has high standards and an unrelenting commitment to serving Minnesotans. It is a start-up environment without legacy systems or preconceived ways of working, so we have a unique opportunity to create human-centric processes and systems to deliver this new benefit to Minnesotans.

Key Responsibilities:

• Process creation and organization development: We are a start-up within state government; you will play a key role in developing the organization, processes, and systems required to deliver the Paid Leave benefit to Minnesotans.

• Claims Process Oversight: Oversee the end-to-end claims process, from submission to decision, ensuring efficiency and accuracy.

• Team Management: Allocate workloads, manage queues, and provide leadership to a team of 40-60 employees, including supervisors, adjudicators, employer support, and grants administration.

• Visibility and Continuous Improvement: Direct the development of operational dashboards to monitor performance and identify trends. Leverage claims data as a strategic asset, driving insights and improvements.

• Employer Support: Provide support to employers via various channels to answer questions, address concerns, and assist in employer administration.

• Grants Administration: Develop the process for tracking and paying grants awarded from the Paid Leave program.

If you’re a leader passionate about process development, creating high-performing teams, continuous improvement, and making a difference in Minnesotan’s lives, we want to hear from you!

Minimum Qualifications

To receive credit for your education and experience, your resume should clearly describe how you meet each minimum and/or preferred qualification listed, including dates of employment.

Four (4) years* of experience in a leadership position that supports claim administration or overseeing core transactional business processes, with at least two (2) of the required years in managing teams to meet the organization's productivity, quality, and goal accomplishment expectations.

*Bachelor's degree in Public Policy, Business, Insurance, or other closely related field as determined by the agency may substitute one (1) year of experience; master’s degree substitutes for eighteen (18) months of experience.

Applicants that meet the above minimum qualification will be further evaluated on the following:

Experience designing new processes or improving existing processes

Experience establishing and maintaining effective communication and working relationships between diverse internal and external stakeholders

Ability to identify and solve root causes to eliminate reoccurring issues

Experience in coaching, mentoring, and developing staff while building relationships

Preferred Qualifications

Knowledge of claims management processes at scale

Demonstrated ability to measure and meet operational service level agreements

Experience partnering with Product Managers to translate your vision into functional and technical requirements

Ability to develop a measurement plan with clear metrics and dashboards to accurately depict the health of your business processes and direct your attention to top priorities

Ability to work in a start-up environment where roles will evolve over time based on the needs of the organization

Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experiences working effectively with others from different backgrounds and cultures

Additional Requirements

This position requires successful completion of the following:

Resumes of all applicants to this posting will be evaluated against the Minimum Qualifications stated above. If your skills match the required skills for this position, the department may contact you. Employee reference checks will be conducted on all finalists. This may include a review of documentation related to job performance and education. It includes contact with the applicant's current and/or former employers.

A Criminal Background Check will be conducted on all finalists for this position. A criminal conviction will not automatically remove you from consideration for employment.

When the position requires travel and the applicant drives a state owned or leased vehicle, a driver's license record check will be conducted.

Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).

AN EQUAL OPPORTUNITY EMPLOYER

Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.

Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.