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Supervisor-Claims - Remote

MedStar Health

Little Rock (AR)

Remote

USD 63,000 - 117,000

Full time

Today
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Job summary

A leading health organization is seeking a Supervisor-Claims to oversee claims processing and staff management. This remote position offers a competitive salary and comprehensive benefits, emphasizing career growth and teamwork. Join us in making a meaningful impact on the lives of our customers and colleagues.

Benefits

Outstanding benefits package
PTO provided at date of hire
11 paid holidays
401(k) with up to 6% match
Tuition Reimbursement
Employee Assistance Program
Recharge Days and Volunteer Time Off

Qualifications

  • 3-5 years in a related field with 1 year as a Team Lead/Supervisor.
  • Internal experience related to the job may substitute for supervisory experience.
  • Military experience may be considered equivalent.

Responsibilities

  • Supervises daily tasks of Claims staff.
  • Monitors claim processing and operations.
  • Handles escalated claims issues.

Skills

General accounting principles
Medical terminology
Customer service skills
Advanced MS Office
Verbal communication
Leadership skills
Attention to detail
Time management

Education

Bachelor's degree or equivalent

Job description

Description

When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready. We are a diverse group of individuals working together to go the extra mile. Through our DEI initiatives, employees feel empowered to bring their talents and voice to our culture.


Our passion for delivering the best products is matched only by our passion for our people. We are committed to making a meaningful difference in the lives of others which extends beyond our office walls. USAble Life has a long tradition of supporting our communities, and we're proud of the fact that our employees share that commitment.


We have been recognized as a "Best Places to Work" in Arkansas, Florida, and Hawaii. You'll be rewarded with opportunities for personal and professional development and opportunities for advancement. This, coupled with our engaging culture and a comprehensive benefits package, ensures we are committed to our employees.


Check out how we make a meaningful difference in the lives of others!


https://player.vimeo.com/video/518665804


What We Offer You:



  • A culture that values employees and celebrates, empowers, and inspires a diverse workforce

  • Outstanding and affordable benefits package

  • PTO provided at date of hire

  • 11 paid holidays

  • 401(k) with up to 6% match; fully vested from day 1

  • Remote opportunities with company-provided equipment

  • Team-oriented, collaborative group of peers

  • Career advancement opportunities

  • Tuition Reimbursement

  • Employee Assistance Program

  • Inclusion Council and Employee Resource Groups

  • Recharge Days and Volunteer Time Off

  • This is a remote position.



Life Takes You Places! Are you ready to join us?


The base salary range for the Supervisor-Claims is $63,000 to 117,000. Actual salaries will vary by geographic location and are based on factors such as candidate's qualifications, experience, skills, competencies, and company tenure & equity. In addition to base compensation, this role is eligible for an annual incentive plan based on company performance and individual performance.



Supervisor-Claims Overview


Supervises the daily tasks of the Claims staff. Monitors and recommends adjustments to claim processing and operations. Prepares performance review, promotion criteria and administrative action documentation; reviews with staff as necessary. Reviews claims and releases benefits. Responds to customer inquiries and assists with escalated claim issues. Works with vendors on claim questions, reporting or investigative issues. Prepares reports on claim elements including turnaround time, error rates and workload distribution. Defines system requests to support the department.


Essential Duties



  • Reviews and audits claim files and releases benefits of processed claims

  • Responds to, and assists with, escalated claims issues

  • Researches, plans, and prepares departmental reports

  • Monitors Claims Analyst time management and workload distribution

  • Coaches and provides assistance and feedback to analysts and staff as needed

  • May perform other duties as assigned


Required Knowledge, Skills, and Abilities



  • Knowledge of general accounting principles

  • General knowledge of medical terminology, anatomy, and physiology

  • Customer service skills

  • Advanced MS Office skills, particularly Excel

  • Excellent verbal and written communication skills including the ability to compose professional correspondence

  • Demonstrated leadership skills and the ability to assist and guide others

  • Ability to supervise staff using appropriate tools and techniques

  • Ability to maintain attention to detail and a low error rate

  • Ability to prioritize tasks and work within time constraints


Required Education and Experience



  • Bachelor's degree or equivalent combination of education or experience

  • 3-5 years in a related field including 1 year of experience as a Team Lead and/or Supervisor

  • Internal experience that is directly related to the job may be substituted for the supervisory experience requirements

  • Or, equivalent military experience


Preferred Education and Experience



  • Completion of LOMA 280/281 and 290/291

  • 3 years' Disability, Life or Worksite claim experience including experience as a Lead or Supervisor



#USAL2



Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.


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