Claims Supervisor Jobs

Excellent communication and organizational skills

Process all response forms including opt in, opt out, and claims with attention to detail and a high level of accuracy

Review response forms, escalation, and resolve

Identify and process disputed response forms

Review processing criteria and begin processing cases with minimal supervision

Scan responses for cases and projects

Join a team of skilled professionals who are up for a challenge and take outstanding performance to heart!

Accelerate your career development with a diverse range of experiences across jurisdictions, industries and risks!

Manage workloads, define team goals, and motivate performance.

Minimum of 10 years related claims experience

Knowledge of all team member related functions

Supervise a Workers Compensation claims team delivering high quality and efficient service.

7-10 claims leadership experience in health benefits specific environment.

Knowledge of claims practices as well as technical expertise.

Excellent oral and written communication skills.

Knowledge of current Medicare Advantage operational and regulatory guidelines established by CMS, AHCA and other federal and state regulatory guidelines.

Ability to work well under pressure and difficult situations Advance knowledge of industry best practices and medical terminology

Provide strategic leadership in the development, execution and monitoring of policies, procedures and initiatives that align with corporate goals and strategy.

H.S. Diploma or equivalent No prior experience required

Requires good computational math skills. Must be familiar with personal computers and possess good keyboard skills

Must have good communication, comprehension and interpersonal skills

Must be detail oriented and have good organizational skills

Interfaces with Adjuster, Agent and insured to obtain information to assure completeness of information and update client systems

Prepares reports and insurance claim forms for damage or loss

H.S. Diploma or equivalent No prior experience required

Requires good computational math skills. Must be familiar with personal computers and possess good keyboard skills

Must have good communication, comprehension and interpersonal skills

Must be detail oriented and have good organizational skills

Interfaces with Adjuster, Agent and insured to obtain information to assure completeness of information and update client systems

Prepares reports and insurance claim forms for damage or loss

Will demonstrate complete knowledge of the claim file process through presentation of actions and responses to client questions.

Demonstrated ability to comply with carrier reporting and threshold requirements.

Competitive annual salary and benefits

Interacts extensively with various parties involved in the claim process.

Able to clearly communicate concise action plans, and present plans for moving the case to conclusion.

Manages cross-functional team members to meet or exceed service requirements.

Expert knowledge of medical terminology and ECD-9/CPT-4 coding experience

Recruits, attracts, develops, motivates and manages a high caliber of employees; Trains employees on products, policies and procedural changes.

Knowledge of MS Office software, specifically Excel

Experience in processing various products including HMO/PPO and Indemnity under both fully insured and self-funded arrangements

1+ years direct supervisory experience

Strong organizational management skills, capable of directing, managing, and developing remote teams

Construction industry or related risk management experience, highly preferred

Self-starter with strong project management skills and capable of managing concurrent complex projects and tasks successfully to completion

Proficient in computer skills, Microsoft suite of applications, MS Outlook, and insurance-based risk management information systems

Provide direction of work, assign claims, and serve as regional escalation point for Claims Manager and Analysts.

Actively participate in and provide thorough and reliable guidance to Claims Managers for crisis response within assigned region and assigned clients.