Job Title: Director, Claims Operations
Date Posted: 11-21-2006
Job Location: Arizona-Phoenix
Job Type: Full Time
Education Level: Bachelors Degree
Work Experience: 2+ to 5 Years
Job Shift: First Shift
Yearly Salary:DOE (Depend on Experience)
Company Name: Schaller Anderson
Company Website: www.schalleranderson.com/
Contact Information: Schaller Anderson   Schaller Anderson (hr@schalleranderson.com)
Job Description:
As a member of the company’s executive management team, this position is responsible for
overall leadership, communication, mentoring, and empowerment, of the Claims Department.
Incumbent is responsible for conceptualizing and achieving optimum quality, efficiency, and
profit targets for the Schaller Anderson of Arizona, LLC Claims Department.

Ø Manage development, coordination, and implementation of SAI, SAA strategic initiatives by:
project definition and planning, business systems monitoring and implementation, performance
measurement systems, benchmarking, contract review, and training 
Ø Design and implement operational strategies, tactics, and resources; recommend initiatives
and programs to optimize and improve the corporations competitive position and profitability;
coordinate operation of Claims and SAA efforts of affiliated health plans
Ø Formulate, execute, and maintain operational budgets in conjunction with fiscal year
parameters; ensure operation objectives are effective expenditures of resources 
Ø Oversee selected vendor contracts for Claims Department operations; recommend, document, and
implement changes to strengthen the management of vendor contracts
Ø Oversee Claims Operations financial, personnel, administrative, and training functions to
ensure adequate staffing infrastructure and support
Ø Participate in professional organizations and activities related to managed health care and
corporate business
Secondary Functions: 
Ø Identify, create, and implement policies and procedures necessary for the quality and
cost-effective performance of Schaller Anderson and its affiliates
Ø Promote professionalism of all employees, including phone etiquette, manners, appearance,
and attitude
Ø Maintain effective working relationships with essential stakeholders
Ø Continue education regarding changes and trends in health care management and corporate
business; monitor industry trends and policy development.
Ø Travel as necessary to develop, implement, and manage Schaller Anderson business,
regulatory, and operations needs
Ø Works in a manner that is not disruptive to peers, supervisors and/or subordinates.
Ø Must maintain regular and acceptable attendance at such level as is determined in the
employer’s sole discretion.
Ø Must be available and willing to work such days and hours as the employer determines are
necessary or desirable to meet its business needs.

Incumbent must have the ability to perform detailed and disciplined work using standard
methodologies in the analysis, design, development, evaluation, testing, documentation,
implementation, and support of corporate health care goals and technology. Incumbent is
required to utilize mathematics budgeting skills, have advanced written and verbal
communication ability, and generate written work, based on perceptive, verbally communicated
contact. Incumbent must have advanced and meticulous organization and coordination skills, and
the ability to prioritize multiple tasks. Must be able to: read, comprehend, and follow
technical reports and instructions containing concrete or abstract variables at an advanced
level; write correspondence, proposals, reviews, audit analysis and technical documentation;
and present information effectively in one-on-one and small group settings to employees.
Incumbent must use advanced reason to define problems, collect data, establish fact, draw
valid conclusions, and design, implement, and manage appropriate action plans is required.
Position is a supervisory role; therefore, incumbent must possess comprehension, perception,
and negotiation abilities. Incumbent must be able to successfully utilize Microsoft Office and
common computer and office hardware functions, and perform counseling, planning, and training,
while managing various staffing patterns.

Education and Work Experience:
Bachelor’s degree preferred. Incumbent must have a minimum of ten (10) years experience in
health care in a managed care environment, and at least five (5) years in a supervisory
position. Demonstrated ability to lead and motivate employees is necessary; a confirmed
understanding of the marketplace is also required. This position requires work experience in a
complex, competitive environment with diverse racial and socio-economic factors. Advanced
interpersonal skills, maturity, and good judgment are required.
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