Claims Supervisor

The HIRD- USA; Tampa (FL); On-site; USD 52,000 - 70,000; Full time

Job summary

An established industry player is seeking a detail-oriented Talent Acquisition Specialist to oversee health claims processing. This role involves managing a team of claim examiners, ensuring productivity and quality metrics are met, and providing mentorship and coaching. The ideal candidate will excel in a fast-paced environment, possess strong organizational skills, and be comfortable leading a team. This position offers the opportunity to make a significant impact in the health care sector, contributing to process improvements and fostering a positive team culture. Join this dynamic team and help shape the future of health claims management.

Qualifications

• 4-5 years of supervisory experience in claims processing.
• Strong work ethics and ability to maintain confidentiality.

Responsibilities

• Manage a team of up to 20 resources and mentor individual associates.
• Handle escalations and monitor performance metrics.

Skills

Team Leadership

Claims Processing

Organizational Skills

Interpersonal Skills

Problem Solving

Education

High School Diploma

Tools

Microsoft Office

Job description

This range is provided by The HIRD- USA. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$25.00/hr - $25.00/hr

Talent Acquisition Specialist at The Hird services

The Claim Supervisor is responsible for the oversight and management of health claims processing and will have direct management of a team of claim examiners and/or support roles.

The team is responsible for the accurate processing of health care claims on behalf of the employer plan and members benefits and will set and monitor claims examiner productivity goals and claim quality metrics.

This position requires a very detail-oriented individual who is flexible and comfortable with assessing projects and assigning priorities. This position includes interaction with internal and external customers to research and provide detailed responses and reporting. This key team member manages a small team of individuals and the right candidate should be comfortable in leading a team.

Key to the success of this position includes: attention to detail, strong organizational skills and a good understanding of Microsoft Office tools.

Role and Responsibilities:

1. Managing team of up to 20 resources
2. Team mentoring & coaching individual associates who may fall below desired performance
3. Manage attendance & incentives for the team
4. Handle escalations on process issues that cannot be resolved by agents
5. Monitoring and ensuring closure of daily/weekly and monthly deliverables
6. Managing SLA, Daily Reporting, Agent & leave planning
7. Maintain a strong knowledge of products and services for customers that we are servicing
8. Monitor random cases to improve quality, minimizing errors and track operative performance
9. Continuously contribute towards process improvement
10. Assign tasks, supervise, mentor and complete timely performance evaluations
11. Provide technical training and career development for staff
12. Conduct remote and side by side monitoring of member contacts to ensure quality assurance standards are met
13. Consistently communicate changes such as policies, procedural and overall performance as a team and one-on-one
14. Communicate any necessary changes to work schedules to meet business needs
15. Support team morale, team building, and employee trust through frequent feedback and recognition
16. Accountable for the daily/weekly/monthly activities of team members
17. Ensure required training courses are completed timely

Qualifications

1. 4-5 years of Team Lead or Supervisory experience with 2/3 years’ experience with claims processing
2. Demonstrate strong work ethics by maintaining confidentiality of information
3. Must have effective supervisory skills: planning, organizing, monitoring and coaching
4. Requires specialized knowledge where problems, assignments and/or duties are difficult but related
5. Must be able to think and work independently, but structured by broad principles and/or procedures
6. High aptitude for working with numbers
7. Must work well under pressure and make decisions quickly
8. Have excellent interpersonal and communication skills and ability to address conflict proactively
9. High School Diploma or higher (will be verified and you will need to provide documentation during onboarding process)
10. Comfortable working from the Tampa office as required

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Health Care Provider

Industries

Hospitals and Health Care