Medical Benefits Claims Supervisor

LHH; Toronto; Hybrid; CAD 70,000 - 90,000; Full time

Job summary

A leading benefits provider is seeking a Medical Claims Supervisor to oversee the medical claims process and manage a team of Benefit Adjusters. The ideal candidate will have at least 5 years of supervisory experience in medical claims, particularly with supplemental policies. This hybrid role involves ensuring compliance, providing exceptional customer service, and developing strategies to improve claims processing efficiency.

Benefits

Medical insurance

Vision insurance

401(k)

Qualifications

• Minimum of 5 years of supervisory experience in the medical claims field.
• Strong knowledge of medical claims processes and regulations.
• Relevant certifications or qualifications in the medical claims field are a plus.

Responsibilities

• Supervise and manage the daily operations of the benefits department.
• Provide guidance and support to Benefit Adjusters.
• Review and approve claims, ensuring compliance with company policies.

Skills

Communication

Interpersonal skills

Analytical skills

Problem-solving skills

Customer service skills

Education

High School Diploma or equivalent work experience

Tools

Microsoft Office Suite

Job description

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Job Title: Medical benefits Claims Supervisor

Location: Hybrid (3 days in office Oklahoma City)

Position Summary: We are seeking an experienced Medical Claims Supervisor to join our benefits department. The role involves overseeing the medical claims process, ensuring compliance with company policies, and providing exceptional customer service. Experience with supplemental medical claims such as cancer, accident, or critical illness policies. This role will have 10-15 direct reports. The ideal candidate will have supervisory experience in the medical claims field, with a preference for those with experience in supplemental medical claims such as cancer, accident, or critical illness policies.

Key Responsibilities:

Supervise and manage the daily operations of the benefits department, ensuring efficient and accurate processing of medical claims.

Provide guidance and support to Benefit Adjusters, ensuring they deliver excellent customer service when speaking with customers regarding their claims.

Review and approve claims, ensuring compliance with company policies and regulations.

Develop and implement strategies to improve the efficiency and effectiveness of the claims process.

Handle escalated customer inquiries and resolve any issues related to claims.

Collaborate with other departments to ensure seamless integration of benefits processes.

Provide training and development opportunities for team members to enhance their skills and knowledge.

Qualifications:

High School Diploma or equivalent work experience.

Minimum of 5 years of supervisory experience in the medical claims field.

Strong knowledge of medical claims processes and regulations.

Excellent communication and interpersonal skills.

Proven ability to manage multiple tasks and meet deadlines.

Relevant certifications or qualifications in the medical claims field are a plus

Proficiency in relevant software and Microsoft Office Suite.

Preferred Skills:

Experience with supplemental medical claims such as cancer, accident, or critical illness policies.

Strong analytical and problem-solving skills.

Ability to work independently and as part of a team.

Great customer service skills, with the ability to handle escalated inquiries effectively.

About Us: Our client is a leading benefits provider dedicated to offering exceptional service and innovative solutions to our clients. Our team is committed to fostering a collaborative and inclusive work environment where every employee can thrive.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Customer Service, Administrative, and Accounting/Auditing

• Industries

  Insurance and Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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