Claims Operations Supervisor
1 week ago
It's fun to work at a company where people truly believe in what they are doing
**Job Description**:
Job Summary:
The Claims Operations Supervisor provides front-line management supervision for our claims operations team. The incumbent works to support the delivery of management direction to ensure timely and accurate processing of claims handling. The Claims Operations Supervisor may also help establishing procedural guidelines, processing claims and performing quality assurance checks. They are responsible for the timely and accurate execution of a case. They work closely with Claims Leadership and Client Services to drive appropriate requirements as well as execution.
Essential Job Responsibilities- Supervises a team of 0-25 employees and/or contingent staff. This may include, but is not limited to, setting expectations, training, workflow management, goal setting, performance management and hiring/firing staff.- Works closely with Data Services, Client Services, and Claims Services teams to understand project requirements and advise on best practices for project setup- Investigates client and internal customer complaints, concerns, and non-conformance issues- Conducts risk analysis; identifies critical control points and preventative measures; monitors quality. Also evaluates adequacy of quality assurance standards.- Maintains working knowledge of technical concepts related to processing support software.- Supports on-site audits conducted by external providers / clients- Develops facility with claims and correspondence processing, as well as best practices for escalation support. Enhances department and organization reputation by taking ownership for quality and accuracy of output of the department.
Qualifications & Certifications- Associate's Degree or comparable work experience- 3+ years in claims analysis work- 2+ years in a lead or supervisory role- Supervisory level leadership skills and ability to communicate effectively to different audiences as needed- Proficiency with Microsoft Office Suite- Solid analytical and risk-assessment skills- Ability to work independently and as a member of a team- Proven experience as a supervisor or similar role- Knowledge of technical concepts pertaining to processing software preferred- Knowledge of technical writing concepts preferred- Ability to work varied shifts due to business needs- Communication: asks questions; confirms understanding with the audience; learns and adopts best practices for written word exchanges with claimants- Problem Solving: seeks resolution despite roadblocks; identifies alternative routes to the goal- Critical Thinking: switches perspectives when considering solutions, to identify gaps and optimize results- Navigates Ambiguity: works through the unknown strategically- Organization: tracks a variety of assignments by priority, and quickly switches between tasks- Troubleshooting: leverages systems and tools knowledge to locate and repair root causes for error- Data Interpretation: accurately assesses claim data to drive the highest level of claimant service- Proprietary Software: understands the underlying structure of databases and other common tools for business administration, and learns new tools rapidly- Vision: continuously conceives of and aspires toward long-term change, while effectively executing short-term goals
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us
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