Claims Customer Service Supervisor

CGS Administrators, LLC; Nashville (TN); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a Claims Customer Service Supervisor to lead a dedicated team in Nashville. This full-time role involves overseeing claims processing and customer service, ensuring performance guarantees are met. The ideal candidate will possess strong analytical and leadership skills, with a focus on fostering a positive work environment. Join a company that values outstanding service and offers comprehensive training and benefits, making it a great place to grow your career in the insurance sector.

Benefits

401(k)

Health Plans

Paid Holidays

Wellness Programs

Tuition Assistance

Recognition Programs

Qualifications

• Bachelor's degree or equivalent experience required.
• 2+ years in claims, customer service, or call center experience.

Responsibilities

• Lead claims and customer service staff for accurate processing.
• Coordinate with departments to maintain customer relations.
• Foster a positive work environment and support development.

Skills

Analytical Skills

Organizational Skills

Communication Skills

Leadership Ability

Microsoft Office Proficiency

Education

Bachelor's Degree

Associate's Degree

Job description

Summary

We are currently hiring for a Claims Customer Service Supervisor to join CGS/BlueCross BlueShield of South Carolina. In this role, you will supervise a team responsible for claims, appeals, and customer service to ensure departmental performance guarantees are met. Responsibilities include recruiting, coaching, monitoring, evaluating, and addressing disciplinary issues promptly.

Why join us? For over seven decades, we've been a part of the South Carolina community and a leader in the insurance industry. We operate sophisticated data centers, manage government contracts, and have a diverse subsidiary family. Join us if you share our commitment to outstanding service.

Description

Logistics: This is a full-time position (40 hours/week, Monday-Friday) based at 26 Century Blvd Suite ST610, Nashville, TN 37214. Training occurs Monday-Friday, 8:00 AM – 5:00 PM, for approximately 6-8 weeks. This role requires on-site presence.

CMS Requirements: Some divisions require employees to have resided in the US for at least three of the last five years due to government contract stipulations.

Key Responsibilities:

1. Lead claims and customer service staff to ensure prompt, accurate processing.
2. Coordinate with other departments to maintain excellent customer relations.
3. Analyze issues and make effective decisions.
4. Recommend process improvements.
5. Handle recruitment, coaching, evaluation, and disciplinary actions.
6. Foster a positive work environment and support professional development.
7. Serve as a liaison for customers and internal teams.
8. Ensure timely resolution of issues and provide staff training as needed.

Qualifications:

• Bachelor's degree or equivalent experience (4 years related work or 2 years with an Associate's degree).
• At least 2 years of claims/appeals, customer service, or call center experience.
• Strong analytical, organizational, and communication skills.
• Leadership ability and proficiency in Microsoft Office.

Preferred Qualifications:

• Four or more years in healthcare, claims, or customer service.
• Leadership experience, including team coordination and training.
• Strong presentation and business math skills.
• Knowledge of benefit plans, claims systems, and quality standards.

Work Environment: Typical office setting.

Support and Benefits: Training programs, comprehensive benefits including 401(k), health plans, paid holidays, wellness programs, tuition assistance, and recognition programs.

Application Process: After applying, your resume will be reviewed, and you may be contacted for a brief interview. Top candidates will be invited for formal interviews.

EEO Statement: We promote equal employment opportunities and provide accommodations for individuals with disabilities or religious needs. For assistance, contact [e-mail] or call 800-288-2227, ext. 47480.