Supervisor, Reimbursement Account Claims
About The Position
The Supervisor, Reimbursement Account Claims oversees the Reimbursement Claims Processing Team, which facilitates, processes, and substantiates claims for the Departmental Product Portfolio. The portfolio includes Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Health Savings Accounts (HSA), Transit and Parking, Student Loan, Tuition Reimbursement, and Wellness Benefits. The role manages the team’s daily activities, including hiring, onboarding, training, performance appraisals, employee development, team meetings, and administration of company policies. It plans and monitors assigned personnel and claims workflows, maintains production and timely completion in line with performance standards and regulatory requirements, and oversees operations, metrics, internal audits, policies, and procedures. The supervisor identifies and addresses barriers, backlogs, and processing problems, and leads system enhancements, testing, process-improvement initiatives, and special projects. The supervisor may provide support to clients, brokers, and members, and ensures compliance with applicable laws, corporate policies, legislative and regulatory requirements, privacy policies, and the Corporate Code of Conduct. Regular and reliable attendance is expected. The role may require travel across the Health Plan service region for meetings and training. Remote work may be considered on a case-by-case basis.
Requirements
- Five or more years of related work experience, including three or more years in healthcare or reimbursement claims processing operations.
- Prior experience supervising or managing people and/or projects, or indirectly leading teams.
- Thorough, ongoing knowledge and application of IRC Sections 105, 125, and 129 regulations and compliance requirements applicable to benefit administration.
- Ability to make prudent, well-researched critical decisions while considering their impact on the department and company.
- Good organizational skills and ability to prioritize assignments.
- Ability to establish and maintain constructive working relationships with internal personnel at all levels and external constituents.
- Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer.
- Ability to travel across the Health Plan service region for meetings and/or training as needed.
Nice To Haves
- Intermediate to advanced Excel skills.
- General PC skills, including Microsoft Outlook and Word.
Responsibilities
- Manage and oversee the daily activities of the claims processing team, including hiring, onboarding, training, performance appraisals, team meetings, employee development, company policies, and team recommendations.
- Plan, coordinate, prioritize, monitor, and report on assigned personnel and their activities.
- Evaluate workflow and inventory levels to ensure production and timely completion according to performance standards and regulatory requirements.
- Develop, implement, and monitor claims operations, including workflows, performance metrics, internal audits, policies, and procedures.
- Identify and remove barriers to productivity, quality, cost effectiveness, timeliness, and member satisfaction.
- Report and address backlogs or inventory concerns with management; identify processing problems and implement solutions through process-improvement initiatives.
- Lead system enhancements, release testing, process-improvement projects, and other special projects assigned by department management.
- Provide direct client, broker, or member support as necessary, including special projects, audits, education, training, troubleshooting, and problem resolution.
- Ensure LBS policies comply with applicable laws and corporate personnel policies.
- Support the Lifetime Healthcare Companies’ mission and values, adhere to the Corporate Code of Conduct, and lead according to the Lifetime Way values and beliefs.
- Maintain member privacy in accordance with corporate privacy policies and procedures.
- Maintain knowledge of relevant legislative and regulatory mandates and ensure activities comply with them.
- Conduct periodic staff meetings and distribute and provide education on departmental and Ethics/Compliance information.
- Maintain regular and reliable attendance.
- Perform other functions as assigned by management.
Benefits
- Group health insurance may be included as part of the total rewards package.
- Dental insurance may be included as part of the total rewards package.
- Retirement plan may be included as part of the total rewards package.
- Wellness program may be included as part of the total rewards package.
- Paid time away from work may be included as part of the total rewards package.
- Paid holidays may be included as part of the total rewards package.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
