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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
Epiq Leadership Compass
Builds Talented Teams
Builds and develops inclusive, high-performing teams aligned to strategic goals for exceptional talent and business results.
Focus on employee engagement
Build a strong talent pipeline
Fosters Relationships & Collaboration
Builds trust and alignment through open communication, shared goals, and strong partnerships to drive collective success.
Build trust-based partnerships
Nurture long-term…
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