Supervisor, Claims Operations

Allied Benefit Systems•Chicago, IL

7d•$60,000 - $65,000•Remote

About The Position

The Supervisor, Claim Operations will help the Management team monitor the daily work within the Claims department. The Supervisor, Claim Operations, is responsible for the training and development of new hires and existing department staff. The Supervisor, Claim Operations will plan and maintain workflows, procedures and policies that enable and encourage the optimum performance of the team.

Requirements

High school diploma required
Bachelor’s degree or equivalent work experience in the healthcare industry required preferred.
3 -5 years of experience in healthcare and/or insurance industry preferred.
1-3 years prior supervisory experience preferred.
All applicants must have strong analytical skills and knowledge of computer systems and CPT and ICD-9 coding terminology.
Applicants must demonstrate the ability to supervise tasks and contribute to the Team atmosphere and concept.
Applicants must have a minimum of 5 years of medical claims analysis and adjudication experience (including dental and vision claims analysis).

Nice To Haves

Prior experience in management and training is preferred but not required.

Responsibilities

Lead employees to meet Allied’s expectations for productivity, quality, and goal accomplishment
Assist with the development and implementation of detailed workflows to improve the consistency and accuracy of the staff
Adhere to and apply all applicable privacy and security laws, including HIPAA, HITECH and any regulations promulgated thereto
Assist other departments on questions related to the payment of claims
Monitor all reports including the Workflow Manager, Pended claims, Suspended claims, Inventory listings, Audits and Automation to ensure that all workflows are followed
Attend continuing education classes as required, including HIPAA training
Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent
Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed
Actively engage, coach, counsel and provide timely, and constructive performance feedback
Other related duties as assigned