Claims Supervisor

Jobguard; San Antonio (TX); On-site; USD 60,000 - 80,000; Full time

Job summary

Jobguard is hiring for a position in San Antonio, Texas focused on supervising a claims processing unit. Candidates must have at least five years of claims experience, with supervisory experience preferred. The role includes directing activities, solving escalated issues, and improving work methods. Proficiency in Word, Excel, and PowerPoint is required along with knowledge of Medicaid, Medicare, and Commercial claims. This position provides an opportunity to enhance operational efficiencies within a managed care environment.

Qualifications

• Minimum five years of claims experience required.
• One to two years of supervisory experience preferred.
• Experience in Medicaid, Medicare, and Commercial claims is mandatory.

Responsibilities

• Supervise and direct the claims processing unit activities.
• Respond to escalated issues from claim examiners.
• Implement methods to improve work procedures.

Skills

Claims processing

Supervisory skills

Problem-solving

Project coordination

Proficiency in Word, Excel, PowerPoint

Education

High school diploma

Job description

POSITION SUMMARY/RESPONSIBILITIES

Supervises, assists, and directs the activities of the assigned claims processing unit and the assigned staff. Responds to issues escalated through the claim examiners. Provides solutions to problems in accordance with CFHP policies and procedures. Plans and implements methods to improve work procedures and areas.

EDUCATION/EXPERIENCE

High school diploma required. Five (5) years claims experience is required. One to two (1-2) years supervisory experience preferred. Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years’ experience project coordination in a managed care environment is preferred. Proficiency in Word, Excel, and Powerpoint, is required.