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Claims Supervisor
1 month ago
Duties and Responsibilities
· Effectively manage the performance of the Claims Team by providing daily leadership and support, coaching, feedback, and direction, incorporating positive feedback and reward mechanisms
· Monitor inventory levels and aging of claims and queues to assign work daily.
- Hire and manage staffing levels to ensure continuous, quality processing
- Conduct effective resource planning to maximize productivity and turn-around time
- Follow and maintain knowledge of Federal and State regulations as well as client requirements; implement changes regarding claims and billing standards
- Develop, revise, and monitor metrics to meet quality, time, service and productivity goals
- Provide expertise and general claims support to teams in reviewing, researching, investigating, negotiating, processing, and adjusting claims
- Identify and coordinate resources for re-work
- Analyze and identify trends and provide robust reports
· Conduct regular meetings with staff toward improving performance, quality and documentation
· Conduct training for new hires and ensure the ramp-up to required metrics is on track
All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
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