Supervisor - Claims

We are hiring for Claims Supervisors to join the team! The Supervisor – Claims is responsible for coaching and developing employees to ensure that department quality and service level requirements are met. This will include monitoring staff quality and productivity results and assisting management with overseeing the daily inventory, turnaround time and quality of claims processed. The Supervisor will also assist management in creating an environment that stimulates an enthusiastic, motivating, high-performance culture that focuses on continuous improvement and excellent service.

Responsibilities:

• Assists and supports team member’s claim processing inquiries to ensure accurate claim processing.
• Oversees and directs the day-to-day activities of the Claims team, motivating and directing staff to meet departmental goals and performance standards.
• Daily monitoring of inventory and daily assignments to ensure TAT goals.
• Monitors and evaluates team quality and productivity results, providing coaching and taking corrective action if necessary.
• Monitors and maintains key performance metrics and collaborates on planning and execution of remedial plans to close any performance gaps.
• Works on company projects to increase productivity, reduce costs and improve quality, efficiency, and service to Geo-Blue customers and internal departments as required.
• Other duties as assigned.

Requirements:

• College degree or equivalent work experience – prior supervisory or management preferred.
• Five to seven years’ experience in the health insurance industry examining and adjudicating medical claims.
• Ability to coach, train, and motivate employees, as well as evaluate staff performance.
• Ability to manage multiple tasks simultaneously.
• Excellent verbal and written communication skills are needed to effectively deal with employees, customers, vendors, and other departments to represent the company and its goals and interests.
• Able to establish and maintain collaborative partnerships across the organization.
• Ability to see the “big picture,” leading a team to make strong and reliable recommendations for improving operational performance.
• Ability to make decisions and support them with documentation.
• Must speak and write fluent English. Foreign language skills a plus.
• Employee is required to have at minimum an internet speed of 75 Mbps (standard high-speed internet access).

Working Conditions:

• Flexibility to work in an office and/or at-home, remote office environment.
• Schedule flexibility is occasionally necessary in this position. Individual may be required to attend key business/departmental meetings and/or perform certain business critical job functions outside of normal working hours.
• Physical Demands: Must be able to communicate internally and externally through receiving and responding to auditory and visual methods.

Internal Pay Grade: 9

The starting pay for this role is $57,411 to $73,199 based on skill level and experience in a similar role.

This job description reflects management’s assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.