Workforce Management Analyst, Claims Operations

This is a fully remote position, open to applicants in Alabama, +43 more locations.

📋 Description

• Analyze receipts from claims, production metrics, inventory levels, aging data, staffing patterns, productivity, and utilization trends.

• Create and uphold demand and capacity forecasts for Claims Operations.

• Construct and sustain capacity models that compare productive capabilities against anticipated claims demand and inventory needs.

• Assist in managing claims inventory and forecasting for various claims work types and inventory segments.

• Oversee workforce utilization and assess both production and non-production activities.

• Analyze workload distribution and pinpoint opportunities to enhance staffing allocation, workload balancing, productivity, and the use of specialized claims skills.

• Collaborate with Claims leadership to ensure capacity aligns with operational priorities.

• Conduct scenario modeling concerning staffing, overtime, vendor capacity, training/ramp assumptions, utilization, automation, productivity, and incoming claims volume.

• Generate regular reports and workforce insights for Claims leaders.

• Convert workforce and operational data into strategic recommendations.

• Work alongside cross-functional stakeholders to develop staffing and workforce strategies.

• Enhance forecasting, reporting, workload management, resource utilization, and workforce planning processes.

• Assist in workforce planning methodologies, metric definitions, documentation, and governance.

⛳️ Requirements

• A minimum of 3 years of experience in workforce management, operations analytics, capacity planning, forecasting, claims operations, or a comparable operational role.

• Experience in analyzing operational data and converting insights into actionable recommendations.

• Proven ability to work with data, spreadsheets, reporting tools, workforce management systems, or similar analytical platforms.

• Exceptional analytical, problem-solving, and decision-making abilities.

• Strong communication, information management, and organizational skills.

• Capability to collaborate effectively across operational and functional teams.

• A proactive self-starter who takes initiative, quickly grasps new concepts, identifies areas for improvement, and independently propels issues towards resolution.

• High school diploma or GED.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.

• CVS Health bonus, commission, or short-term incentive program in addition to base pay.