8 часов назад
Supervisor, Claims (Health Insurance)
56 200 - 101 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Supervisor, Claims (Health Insurance): Overseeing medical claims operations, supporting staff with complex claims, and maintaining compliance with state and federal regulations with an accent on inventory management, quality control, and process improvement. Focus on resolving escalated claims, analyzing systemic root causes, controlling operational costs, and coordinating with internal stakeholders and vendors.
Location: Remote, Missouri
Salary: $56,200–$101,000 per year
Company
provides healthcare services focused on connecting people with the care they need and improving access to healthcare.
What you will do
- Oversee daily operations and inventory for the assigned medical claims area.
- Provide technical and leadership support to staff and resolve complex or escalated claims.
- Prioritize workloads, balance capacity, and manage operational overtime costs.
- Identify process improvements and resolve operational, financial, regulatory, and stakeholder issues.
- Monitor claims quality reviews, document findings, and perform systemic root cause analysis.
- Prepare operational reports, maintain records, and coordinate with internal departments, vendors, and other stakeholders.
Requirements
- Associate degree in a related field or equivalent experience.
- At least 2 years of experience in health insurance, claims processing, a physician’s office, or related office services.
- Previous supervisory or lead experience with defined outcomes.
- Ability to work with state and federal regulatory requirements and resolve complex claims issues.
Nice to have
- Experience with Medicaid, Marketplace, or Medicare.
Culture & Benefits
- Remote work schedule for this Missouri-based role.
- Health insurance, 401(k), and stock purchase plans.
- Tuition reimbursement, paid time off, and holidays.
- Flexible work approaches are available across remote, hybrid, field, and office schedules.
- Equal opportunity employment and consideration in accordance with applicable fair-chance regulations.
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