Company
Claims Communication
ClaimsCommunicationandProcessEnablementLead
Neural analysis suggests this role is
optimal for Lead candidates.
“Claims Communication and Process Enablement Lead. Skills: Claims workflows, Process enablement, Change communication, Execution quality. Own documentation of critical Claims workflows. Translate complex workflows into process maps”
Industry & Context.
Critical thinking; Adapt quickly; Derive appropriate conclusions; Solve practical problems; Deal with variables
What They're Looking For.
Must Have
Seven (7) years of experience in workers compensation claims management, Demonstrated experience translating complex processes into clear, structured, and actionable guidance, Proven experience with Claims Management Systems (CMS), Experience supporting or leading operational change initiatives, Ability to read, analyze, and interpret Claims laws and regulations, Ability to develop clear, actionable workflows/SOPs, Ability to write effective business correspondence and clear, concise procedures, Ability to solve practical problems and deal with a variety of variables in situations where only limited standardization exists, Ability to interpret instructions furnished in written, oral, diagram, or schedule form
Nice to Have
Licensed to adjust workers compensation claims, Prosci Change Management Certification, Certified Change Management Professional (CCMP), Project Management Professional (PMP)
What You'll Do.
Own documentation of critical Claims workflows
Translate complex workflows into process maps
Translate complex workflows into execution standards
Establish documentation standards
Enforce documentation standards
Ensure integrity of centralized repository
Update documentation as processes evolve
Design high-quality job aids
Deliver high-quality job aids
Refine tools based on feedback
Refine tools based on gaps
Partner with Claims leadership
Partner with Transformation team
Translate system changes into communications
Translate process updates into communications
Establish repeatable model for change rollout
Identify breakdowns in adoption
Drive correction actions
Monitor execution consistency
Identify gaps between standards and practice
Utilize data to prioritize improvements
Utilize audits to prioritize improvements
Utilize frontline feedback to prioritize improvements
Drive continuous refinement of workflows
Drive continuous refinement of job aids
Drive continuous refinement of communication practices
How You'll Work.
Team & Collaboration
Claims leadership; Transformation team; Multiple levels of organization
Communication Scope
Actionable communications; Consistent voice; Effective business correspondence; Clear, concise procedures; Persuasive arguments; Individual conversations; Presentations to groups
Full Job Description
## WORKFLOW DOCUMENTATION AND STANDARDIZATION Owns end-to-end documentation of critical Claims workflows across Adjusting, Medical Management, and operational support functions. Translates complex workflows into clear, structured process maps and execution standards. Establishes and enforces documentation standards to ensure consistency across all Claims functions. Ensures the integrity and ongoing accuracy of a centralized repository for Claims workflows, updating documentation as processes evolve. ## JOB AIDS AND PRACTICAL ENABLEMENT Designs and delivers high-quality job aids that support real-time decision making. Ensures materials are usable in the flow of work, reducing reliance on tribal knowledge or inconsistent practices. Continuously refines tools based on frontline feedback and observed execution gaps. ## CHANGE COMMUNICATION AND ADOPTION DISCIPLINE Partners with Claims leadership and Transformation team to translate system changes and process updates into clear, actionable communications. Ensures a singular, consistent voice across all Claims communication related to workflow and execution changes. Establishes a repeatable model for change rollout, including sequencing, reinforcement, and adoption tracking. Identifies breakdowns in adoption and drives correction actions. ## EXECUTION QUALITY AND CONTINUOUS IMPROVEMENT Monitors execution consistency across teams and identifies gaps between defined standards and actual practice. Utilizes data, audits, and frontline feedback to prioritize improvements. Drives continuous refinement of workflows, job aids, and communication practices QUALIFICATIONS: ## EDUCATION Bachelor's degree from an accredited four-year college or university. LICENSES AND CERTIFICATIONS: One or more preferred: Licensed to adjust workers compensation claims in one or more jurisdictions. Prosci Change Management Certification or Certified Change Management Professional (CCMP). Project Management Professional (PMP). ## EXPERIENCE A minimum o
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