Claims Supervisor - REMOTE

S&S Health; Cincinnati (OH); Remote; USD 50,000 - 80,000; Full time

Job summary

Join a forward-thinking healthcare administration company as a Claims Supervisor, where you'll lead a dedicated team in optimizing claims processing. This role is pivotal in enhancing operational efficiency and ensuring a consumer-centric experience. With a focus on team development and performance management, you will play a crucial role in driving process improvements and maintaining high-quality standards. The position offers a dynamic environment where your leadership and analytical skills will directly impact the success of the organization. If you are passionate about healthcare and ready to make a difference, this opportunity is for you.

Qualifications

• Proven experience in claims processing and managing healthcare claims.
• Strong leadership skills with a focus on team development and performance.

Responsibilities

• Supervise and support a team of Claims Examiners, ensuring efficient claims processing.
• Identify opportunities for process improvements and implement necessary changes.

Skills

Claims Processing

Leadership

Analytical Skills

Problem-Solving

Communication Skills

Tools

Claims Management Systems

Job description

S&S Health is a leading healthcare administration company based in Cincinnati, Ohio, specializing in self, level, and fully funded solutions aimed at lowering costs and improving outcomes while providing a consumer-centric experience. With a nationwide presence, S&S Health delivers comprehensive benefits, services, and technology platforms tailored to meet the unique needs of employers, third-party administrators (TPAs), and health systems.

The Claims Supervisor is responsible for overseeing and guiding the daily operations of our Claims team. This role involves managing a team of Claims Examiners, focusing on team development, KPI management, and process improvement initiatives to ensure efficient and accurate claims processing.

Key Responsibilities

• Team Management: Supervise and support a team of Claims Examiners, including delegating tasks, monitoring performance, and providing guidance on complex claims issues.
• Operational Oversight: Manage daily inventory reports, assign tickets, and oversee workload distribution to ensure efficiency and quality standards are met.
• Process Improvement: Identify opportunities for process enhancements and implement changes to improve workflow efficiency and effectiveness.
• Client and Vendor Interaction: Act as a liaison between clients, TPAs, and the Claims team, addressing concerns and ensuring smooth communication.
• Administrative Duties: Approve and manage employee timesheets, and maintain accurate records of performance and productivity.
  
  

Qualifications

• Experience: Proven experience in claims processing, including evaluating, approving, and managing insurance or healthcare claims efficiently and accurately.
• Leadership Skills: A strong track record in a supervisory or leadership role with the ability to manage and develop a team effectively.
• Technical Proficiency: Familiarity with claims management systems.
• Skills: Strong analytical and problem-solving abilities, with keen attention to detail and excellent communication skills.
• Attributes: Professionalism and the ability to handle complex issues with confidence and clarity.
  
  

S&S Health is committed to providing a safe and secure workplace for all employees. Please note that all final candidates will undergo a comprehensive background check and drug testing as part of our hiring process.