Benefits and Compensation

Professional Benefit Administrators -
Oak Brook, IL

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Job Details

$175,000 - $190,000 a year

Benefits

AD&D insurance
Health insurance
Dental insurance
Flexible spending account
Vision insurance
Life insurance

Qualifications

Vendor relationship building
Staff supervision
Team supervision
Managing teams in a customer support role
Coaching
Leading team collaboration initiatives
Managing insurance claims teams
Analytics

Full Job Description

Professional Benefit Administrators leads with one guiding principle, provide exceptional benefit

administration for self-funded health plans. Brokers who choose to partner with PBA will benefit from

an ally who values cost containment, flexibility, responsiveness, member advocacy, transparency, and

results. PBA collectively aligns through the organization’s core values of:

Work together and respect each other,

Be dedicated to the customer,

Be accountable and do what you say,

Take initiative and be willing to learn and

Generate positive energy.

The Director of Operations will be accountable for the Claims, Claims Acquisition, Enrollment, and

Member Advocate teams working with PBA’s leadership team to set the course for PBA’s future. Must

be an outgoing business leader who can observe, analyze, and continually improve the operation to

ensure it runs as efficiently as possible for PBA's success. This role reports to the COO/Integrator.

Please see below for a more in-depth overview of daily responsibilities and skills required for this

position.

Responsible for:

LMA (Lead, Manage and support a culture of Accountability) using the EOS model to

continually develop future leaders.

Developing, mentoring, and evaluating Operations staff including, but not limited to, annual

reviews and Quarterly Conversations

Oversight and accountability of the entire Operations team which includes:

o Member Advocacy (Customer Service)

o Claims Acquisition

Claims Prep

PPO Liaison

Provider Maintenance

Mail Room

o Enrollment

o Claims

Claims Processing

Training/Auditing

Excess stop loss claims

Plan Loading

Medical Management navigation between PBA and UR Vendors

Vendor management/documentation

Strategic Planning: Develop and implement operational strategies that support overall business

objectives.

Director of Operations

Process Improvement: Analyze and refine business processes, workflows, and policies to boost

efficiency and performance.

Financial Management: Manage operational budgets, control costs, and monitor financial

performance metrics.

Leadership & Supervision: Lead teams, set guidelines for staff, and foster cross-functional

collaboration.

Performance Monitoring: Track key performance indicators (KPIs), analyze data, and report on

operational health to executives.

Accountability: Holds departments accountable for goals, tracks metrics, ensures follow-

through, and drives results.

Resource Management: Oversee production, inventory, vendor relationships, and resource

allocation.

Reporting department activity to COO/Integrator on a weekly basis

Applying observations and feedback to continually improve PBA’s operation.

Other duties as assigned.

Requirements for this position:

7+ years managing, coaching, and directing larger teams in a similar service based or claims

operation.

5+ years managing Third Party Administration Claims processing.

Ability to travel for quarterly meetings and/or client engagements when necessary

Stoploss experience or knowledge a strong plus.

Javelina claims system experience or knowledge a strong plus.

Senior level organizational, analytical and accountability skills are necessary.

Effective verbal and written communications

Demonstrated ability to get results through team members and management.

Adaptability to new concepts and systems

Problem solver and critical thinker

Open minded with a desire to learn, grow and receive feedback in a welcoming way.

Must be able to represent PBA’s Core Values and business procedures to vendors, brokers,

and clients.

Benefits and Compensation

PBA offers a wide range of benefits including medical, dental, vision, life insurance, AD&D,

critical illness, accidental illness, FSA, disability and 401k.

The range for this role is $175,000-$190,000 per year.

Director of Operations
Professional Benefit Administrators is an equal opportunity employer. In accordance with anti-

discrimination law, it is the purpose of this policy to effectuate these principles and mandates.

Professional Benefit Administrators affords equal employment opportunities to all employees and

applicants and specifically prohibits any and all discrimination and harassment based on race,

race-related traits, color, religion, national origin, ethnicity, ancestry, military status, sex,

pregnancy, sexual orientation, gender identity, disability (mental or physical), age, marital status,

citizenship status, unfavorable military discharge, genetic information, order of protection status,

and any other protected status under federal, state, and local law. Professional Benefit Administrators

conform to the spirit and letter of all applicable laws and regulations.

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