Claims Research & Resolution Supervisor

Humana

1d • $65,000 - $88,600 • Remote

About The Position

Become a part of our caring community and help us put health first As a Claims Research & Resolution Supervisor, you will manage claims operations that involve customer contact, investigation, and settlement of claims for and against our organization, including approval. Reporting to the Claims Research and Resolution Manager, you will follow established guidelines. You will apply independent judgment to analyze variable factors and resolve issues. Additionally, you will collaborate with management and specialists to select appropriate methods and analytical techniques. The Claims Research & Resolution Supervisor will: Oversee approximately 14-18 direct reports Work with insurance companies, providers, members, and collection services in the settlement of claims. Manage a team comprised of a group of claims associates researching the resolution to a corrected claim. Make decisions that are typically related to schedules, plans and daily operations. Perform escalated or more complex similar work and manage a group of support and technical associates. Provide daily oversight to associates. Ensure consistency in execution across team. Hold team members accountable for following established policies. Use your skills to make an impact

Requirements

• Minimum three (3) years of claims research and resolution experience
• Minimum two (2) years of team lead and/or management experience over direct reports, with demonstrated ability to develop associates through coaching and sharing feedback
• Proficiency with Microsoft Office programs including Outlook, Excel, Word and PowerPoint
• Experience managing multiple tasks, competing priorities and meeting deadlines.

Nice To Haves

• Inventory Management Experience

Responsibilities

• Oversee approximately 14-18 direct reports
• Work with insurance companies, providers, members, and collection services in the settlement of claims.
• Manage a team comprised of a group of claims associates researching the resolution to a corrected claim.
• Make decisions that are typically related to schedules, plans and daily operations.
• Perform escalated or more complex similar work and manage a group of support and technical associates.
• Provide daily oversight to associates.
• Ensure consistency in execution across team.
• Hold team members accountable for following established policies.

Benefits

• Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed