Service Operations Supervisor, Healthcare Claims Department

LanguageLine Solutions

94d • $55,000

About The Position

Health Advocate is the nation’s leading provider of health advocacy, navigation, well-being and integrated benefits programs. For 20 years, Health Advocate has provided expert support to help our members navigate the complexities of healthcare and achieve the best possible health and well-being. Our solutions leverage a unique combination of best-in-class, personalized support with powerful predictive data analytics and a proprietary technology platform to address nearly every clinical, administrative, wellness or behavioral health need. Whether facing common issues or an unprecedented challenge like COVID-19, our team of highly trained, compassionate experts work together to go above and beyond expectations, making healthcare easier for our members and ensuring they get the care they need.

Requirements

• Call center experience preferred.
• Management or supervisory experience in healthcare benefits or claims processing preferred.
• Strong leadership skills and the ability to build effective teams.
• Effective communication skills to interact with members, physicians, and insurance carrier representatives.
• Assertive, self-confident, and resilient.
• Basic computer skills and ability to search and identify resources through the internet.
• Demonstrated ability to communicate concepts, strategies and plans in terminology understood by business professionals.

Nice To Haves

• Basic knowledge of MS Word and Excel required.
• Bilingual in English, Spanish, etc. preferred.
• Knowledge of COBRA, Medicare plans, high deductible health plans, and government programs.

Responsibilities

• Oversee daily tasks and workflow of assigned team of associates/specialists.
• Provide direction and structure to the team and aid in answering questions using knowledge of services and benefits.
• Responsible for administrative functions and supervision of an operations unit.
• Manage backlog and quality for a team of Operations/Customer Service associates.
• Organize, direct, and staff all assigned service calls and case load assignments.
• Monitor calls and audit case files daily to ensure proper target resolution is identified.
• Coach, mentor, and evaluate the performance of the assigned team.
• Assist in the selection, counseling, and discipline of all staff on the team.
• Provide oversight and direction to staff for assigned cases.
• Responsible for problem-solving issues and coordinating efforts with internal departments and subject matter experts.
• Provide healthcare benefit and claims consultation and support to all internal departments.
• Evaluate and monitor service calls and case management procedures to recommend necessary changes to the Operations Manager.
• Escalate cases through appropriate channels in accordance with Health Advocate’s policies.

Benefits

• Annual salary starting at $55,000.
• Robust medical, dental, and vision coverage.
• 401(k) with company match.
• Paid time off (PTO).
• Access to advanced systems and comprehensive training.
• Support of a collaborative team.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees