Claims Supervisor
About The Position
Wellabe is looking for a Claims Supervisor to join our team. This person is responsible for coordinating the day to day activities of a team of claims employees. Monitors team member’s workload, provides training, and monitors individual claim activities. Provides technical/jurisdictional direction to reports on claims adjudication. Ensures team members have the needed training and are in compliance with regulatory and company standards. Core Responsibilities Responsible for the direction of the claims team to ensure consistent delivery of services that meet or exceed customer expectations and complies with regulatory and company standards. Provides technical guidance to team members. Resolves complaints, problems, and coverage questions. Participates in management related duties including performance management, recruitment and selection of new hires. Provides ongoing training and coaching to team members. Ensures all receive communication of corporate/department policies and procedures. Complies, reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Ensures claim files are coded correctly and adequate documentation is made. About Wellabe Since 1929, Wellabe has been finding solutions to help our customers protect their health and financial well-being. And we’re committed to fostering an internal culture of inclusivity, well-being, and development so each of our team members can succeed. Learn more about Wellabe’s culture of betterment by visiting wellabe.com/culture . Wellabe is full of smart, caring, hard-working people with a broad range of talents who understand collaboration is key. We bring our best selves every day, to connect with others to solve problems, spark innovation, and bring ideas to life. Meet the team and learn what makes Wellabe a great place to work by visiting wellabe.com/news/employee-spotlights .
Requirements
- Excellent interpersonal skills.
- Ability to communicate technical and complex topics in a way that is understandable to those less experienced.
- Strong aptitude for understanding technical solutions and learning/utilizing tools.
- Intermediate knowledge of MS Office Suite (Excel, Word and PowerPoint).
- Strong attention to detail and organization.
- Five years of claims handling experience.
Nice To Haves
- Professional certifications as applicable.
Responsibilities
- Coordinating the day to day activities of a team of claims employees.
- Monitoring team member’s workload, providing training, and monitoring individual claim activities.
- Providing technical/jurisdictional direction to reports on claims adjudication.
- Ensuring team members have the needed training and are in compliance with regulatory and company standards.
- Directing the claims team to ensure consistent delivery of services that meet or exceed customer expectations and complies with regulatory and company standards.
- Providing technical guidance to team members.
- Resolving complaints, problems, and coverage questions.
- Participating in management related duties including performance management, recruitment and selection of new hires.
- Providing ongoing training and coaching to team members.
- Ensuring all receive communication of corporate/department policies and procedures.
- Compiling, reviewing and analyzing management reports and taking appropriate action.
- Performing quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
- Ensuring claim files are coded correctly and adequate documentation is made.
Benefits
- Hybrid availability
- 401(k) with company match
- Health insurance
- Paid time off, holidays
- Volunteer time off
- Lifestyle Spending Account (LSA)
- Paternity leave
- Growth opportunities
- LinkedIn Learning Premium access
- CliftonStrengths® assessment and coaching
- On-site and virtual workshops and cohorts featuring world-class content from FranklinCovey, Crucial Learning, Gallup, and more
- Free world-class insurance acumen courses through AHIP and LOMA
- Reimbursement and bonus opportunities for professional designations and certifications, including a tuition reimbursement program
- Opportunities to take part in Wellabe's mentorship programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
