Claims Supervisor - In Office or Hybrid

Auxiant•Madison, WI

just now•Hybrid

About The Position

Auxiant’s Mission Statement and Core Values Mission: An Independent TPA investing in People and Innovation to deliver expert-driven experiences with REAL Results. Core Values: Independent Solutions. REAL Results Respect Empowerment Agility Leadership Be part of a growing and prospering company as an Claims Supervisor. Auxiant is a third party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and Milwaukee, WI. Auxiant is a fast-growing,progressive company offering an excellent wage and benefit package. Job Summary: Supervise the claims department to maintain the service and productivity level of standards

Requirements

Medical terminology
Previous experience in Medical Insurance and/or third party administration
Previous experience in a leadership role
Proficient use of Microsoft Word, Excel, and Internet
Excellent written/verbal communication skills
Bachelors Degree and 2-4 years related experience; or equivalent combination of education and experience.

Responsibilities

Monitoring turnaround time, inventory, examiner production, data entry production and automated production
Assist examiners and other staff members in questions as to claim process, interpretation of plan design and language, clients, participants and providers questions, claim rules
Assist in claims processing as needed
Answer and correspond to necessary inquiries verbally and written including appeals and claim service pre-determinations
Assist in the customer service phone line queue as needed
Handle projects that relate to the claims area
Coordinate projects as needed and directed by Vice President of Operations and Director of Claims and Customer Service
Prepare, coordinate and revise procedures as needed
Supervision of positions reporting to Claims Supervisor
Hire necessary staff force, prepare annual reviews, coordinate vacations schedule, evaluate and discipline staff
Role model for employees
Recognize and reward employee performance/results
Recommend changes for improvement
Other duties as assigned or appropriate