Job: Claims Supervisor

To manage the day to day functions of the Claims Department, to include the handling of personnel related issues, backlog and workflow management. Monitor production, quality, claims turnaround and staffing.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Monitor productivity and workflow of the unit ensuring that the proper staff is in place and trained to meet operational needs.

Orient, coach and develop employees by providing feedback and reviews.

Administer disciplinary action when needed.

Monitor attendance and overtime.

Conduct team meetings.

Participate in meetings with other departments to discuss issues and solve problems which cross departmental lines.

Manage work distribution to ensure that the oldest claims are processed first.

Identify ways to streamline workflow, increase productivity, improve quality and ensure continuous improvement within the unit.

Produce reports on unit operations.

Interview and screen job applicants; make hiring decisions.

Coordinate training needs through the Senior Examiners.

Ensure that policies and procedures are updated and distributed to all team members and affected departments in a timely manner.

Coach and counsel employees to ensure that individual performance is meeting departmental standards.

Contribute to the overall success and attainment of team goals by assisting with special projects and working overtime when needed.

Exhibit professionalism and perform in a manner that supports the company's emphasis on customer service and operational excellence.

SUPERVISORY RESPONSIBILITIES include the following

Handle all decisions that relate to the day-to-day functions of the department.

Monitor individual and departmental performance to ensure that attendance, production and quality standards are met.

Provide coaching, counseling and disciplinary action as needed.

Conduct meeting and communicate information to the unit.

QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Ability to communicate with individuals internally and externally.

Possess strong organizational skills and leadership qualities.

Ability to manage a variety of functions and responsibilities.

Strong knowledge of Managed Healthcare and claims processing.


EDUCATION and/or EXPERIENCE

• Previous supervisory experience