Remote Claims Operations Supervisor

Highmark Health; New York (NY); Ibrido; USD 58.000 - 90.000; Tempo pieno

Descrizione del lavoro

Highmark Inc. in the United States seeks a claims supervisor to oversee day-to-day activities of claims processing units responding to inquiries from members, providers, or account representatives across markets.

The role primarily manages teams in New York state regions including Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, and Wyoming counties, with a 0–25% travel expectation and remote office-based work arrangements.

Competenze

• High School Diploma or GED required.
• 2 years experience in a claims environment.
• 1 year experience leading or supervising others.

Mansioni

• Communicate effectively with team members and stakeholders.
• Effectively supervise all assigned personnel.
• Coordinate claim backlog distribution for regular and overtime work.
• Monitor and manage daily inventories to ensure staffing and resources.
• Serve as subject matter expert for benefit plans and claims processing issues.
• Research quality issues and respond to error assessments.
• Ensure business processes are regularly monitored.
• Recommend and design process improvements to improve accuracy and timeliness.

Conoscenze

Processing systems

Claims processing methodologies

Regulatory interpretation

Product knowledge

Formazione

Bachelor’s degree

Descrizione del lavoro

Highmark Inc. in the United States seeks a claims supervisor to oversee day-to-day activities of claims processing units responding to inquiries from members, providers, or account representatives across markets.

The role primarily manages teams in New York state regions including Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, and Wyoming counties, with a 0–25% travel expectation and remote office-based work arrangements.