Supervisor of Claims Production
2 weeks ago
Description:
PURPOSE:
The Supervisor of Claims Production is responsible for the management and operation of the Claims Analyst staff which includes production, quality review, personnel matters, workflow, claims procedures and training. The Supervisor of Claims Production will have a detailed understanding of the computer system and working knowledge of the interaction of all functional units in the claims department. This individual will be responsible for the career growth, development and planning for future needs to encompass the department as a whole and the individual claims staff members. The primary focus is production, inventory management and quality of the unit.
ESSENTIAL FUNCTIONS:
40% 1. Management and operation of the unit in accordance with company objectives and guidelines as well as departmental guidelines and procedures, including workflow, procedures and processes, training, quality review and personnel matters: a. Plan, direct and maintain the workload of staff. Coordinate staffing needs with Human Resources and interview prospective employees referred by H/R. b. Develop and maintain employee developmental plans, fostering an environment which promotes growth and development. c. Establish and maintain employee performance goals and minimum performance standards for both production and quality. d. Complete employee evaluations according to company guidelines. Discuss evaluation with employees in a manner that motivates them to reach their potential for maximum job performance. e. Counsel with individual employees concerning performance, personnel issues, etc. and establish corrective measures as necessary. Resolve and/or direct questions or problems from staff members. f. Create and maintain job descriptions for all staff members. g. Provide training as needed for new and existing staff.
10% 2. Establish, implement, and monitor all departmental guidelines and procedures. Oversee maintenance of departmental guidelines and procedure manuals.
15% 3. Analyze department production/quality figures. Evaluate results and communicate to staff on an individual basis to encourage their growth and development. a. Evaluate, modify, or create new production/quality standards and procedures on an on-going basis and make recommendations to Claims Director.
5% 4. Consistently identify improvements (systems and processes) to improve performance and quality.
2% 5. Randomly audit files reviewed by the Claims Auditors to determine appropriateness of the errors and to review for consistency.
13% 6. Communicate with other members of the Claims supervisory team to plan and direct the workflow throughout the Claims Department and take action on situations that arise between the different areas of Claims.
3% 7. Consult with the Team Leads and other Claims Supervisors on the progress of trainees throughout the training process. Assess progress and take appropriate action.
2% 8. Respond to or direct staff to answer situational questions from Customer Service Representatives via Contact Management System.
2% 9. Resolve problem telephone calls referred by upper management and respond accordingly. Refer files to the Analysts to expedite actual processing or reprocessing.
2% 10. Provide assistance with managing any offsite office maintenance and business transactions (Rockford).
2% 11. Organize and execute schedule of onsite office meetings (Trimester) to include company sponsored lunches/events.
(Management retains the discretion to add or change the functions of this position at any time.)
MARGINAL FUNCTIONS: 4%
1. Answer technical questions on claim files referred by the Carrier or internal staff, or external questions by insureds, agents, providers, etc., and periodically process problem or complicated files.
2. Contact the Carrier by telephone or written correspondence regarding specific claims or policy interpretation as required.
3. Assist in case management functions. Answer questions and review benefit reduction appeals and/or denials as required. Communicate with vendors to establish referral procedures and to resolve any questions or problems that arise.
4. Review and evaluate employee suggestions. Encourage and develop employee contributions in team problem solving and their ideas for process improvements.
5. Prepare for and meet with external auditors when necessary
Requirements:1. One year of experience in a lead, quality or supervisory role. Insurance experience, including claims processing, strongly preferred.
2. High school graduate or equivalent. A college degree or college coursework is preferred.
3. Demonstrated decision making abilities.
4. Ability to speak English fluently. Ability to read, comprehend, follow, and give written or verbal English instructions.
5. Excellent interpersonal skills. Ability to listen and question employees to determine level of understanding and/or define problems. Ability to express self clearly in a courteous, confident, and consistent manner.
6. Ability to compose proper business correspondence. (i.e., letters, memos, and file documentation).
7. Excellent telephone communication skills, (i.e., listening for understanding, responding accurately and professionally).
8. Ability to perform basic math skills.
9. Ability to operate in a ten-key calculator and proficiency in using a personal computer, i.e., spreadsheets, databases, reports, etc.
10. Ability to meet company attendance requirements and work extended hours as needed.
11. Ability to work under and handle stress associated with varying workloads and deadlines.
12. Ability to sit or stand for 7.5 hours a day.
FACTORS IMPORTANT TO SUCCESSFUL PERFORMANCE OF POSITION:
Problem solving Analytical ability Interpersonal skills Dexterity Communication skills Coaching and mentoring Supervisory/Leadership
The position requires the ability to evaluate employee's performance and take corrective or disciplinary action accurately, consistently, and fairly. Excellent communication and interpersonal skills are needed in verbal contact and written correspondence internally and with those outside of the Company. Must have analytical and creative abilities to solve problems and project future needs of the department.
PHYSICAL DEMANDS OF POSITION:
Standing/Sitting 90% of time Attend/conduct meetings, reviewing files. Walking 10% of time Meetings, reference area and to monitor employees. Lifting/Carrying 20 lbs
-
Claims Production Supervisor
4 weeks ago
Overland Park, Kansas, United States Allied National, Inc Full timeJob SummaryThe Claims Production Supervisor is responsible for the management and operation of the Claims Analyst staff, ensuring the efficient processing of claims and maintaining high-quality results. This role requires strong leadership and communication skills, as well as the ability to analyze data and make informed decisions.Key ResponsibilitiesManage...
-
Claims Production Supervisor
4 weeks ago
Overland Park, Kansas, United States Allied National, Inc Full timeJob Title: Claims Production SupervisorJob Summary:The Claims Production Supervisor is responsible for the management and operation of the Claims Analyst staff, ensuring the efficient production, quality review, and personnel matters of the claims department. This role requires a detailed understanding of the computer system and working knowledge of the...
-
Claims Production Supervisor
3 weeks ago
Overland Park, Kansas, United States Allied National, Inc Full timeJob SummaryWe are seeking a highly skilled and experienced Claims Production Supervisor to join our team at Allied National, Inc. The successful candidate will be responsible for managing and operating the Claims Analyst staff, ensuring the efficient and effective processing of claims.Key ResponsibilitiesManage and operate the Claims Analyst staff, including...
-
Supervisor of Claims Production
4 weeks ago
Overland Park, United States Allied National, Inc Full timeDescription:PURPOSE: The Supervisor of Claims Production is responsible for the management and operation of the Claims Analyst staff which includes production, quality review, personnel matters, workflow, claims procedures and training. The Supervisor of Claims Production will have a detailed understanding of the computer system and working knowledge of the...
-
Supervisor of Claims Production
2 months ago
Overland Park, United States Allied National, Inc Full timeDescription:PURPOSE: The Supervisor of Claims Production is responsible for the management and operation of the Claims Analyst staff which includes production, quality review, personnel matters, workflow, claims procedures and training. The Supervisor of Claims Production will have a detailed understanding of the computer system and working knowledge of the...
-
Supervisor of Claims Production
2 months ago
Overland Park, United States Allied National, Inc Full timeDescription:PURPOSE: The Supervisor of Claims Production is responsible for the management and operation of the Claims Analyst staff which includes production, quality review, personnel matters, workflow, claims procedures and training. The Supervisor of Claims Production will have a detailed understanding of the computer system and working knowledge of the...
-
Supervisor of Claims Production
4 weeks ago
Overland Park, United States Allied National, Inc Full timeJob DescriptionJob DescriptionDescription:PURPOSE: The Supervisor of Claims Production is responsible for the management and operation of the Claims Analyst staff which includes production, quality review, personnel matters, workflow, claims procedures and training. The Supervisor of Claims Production will have a detailed understanding of the computer system...
-
Claims Supervisor
3 weeks ago
Overland Park, Kansas, United States CorVel Corporation Full timeJob Title: Claims SupervisorThe Claims Supervisor is a critical role within the CorVel Corporation, responsible for overseeing a team of claims professionals and ensuring the successful management of workers' compensation claims. This position requires strong leadership and communication skills, as well as the ability to analyze complex claims data and make...
-
Claims Assistant
4 weeks ago
Overland Park, United States Sunrisesys Full timeJob Title: Claims Assistant Location: Overland Park, KS Duration: + months Position Type: Hourly contract Position (W only) Note: Potential opportunity to convert to permanent employee. Job Schedule: Hybrid- in office days/WFH -this schedule will be discussed at interview in office at home. Job hours- -: but flexible Job Summary: ...
-
Auto Claims Adjuster
2 days ago
Overland Park, Kansas, United States The Jacobson Group Full timeJob SummaryWe are seeking an experienced Auto, General & Liability (AGL) Claims Adjuster to join our team at The Jacobson Group. The successful candidate will be responsible for handling and maintaining all AGL claims and file reviews under general supervision of a supervisor and under the direction of the Claims Team Leader.Key ResponsibilitiesInvestigate...
-
ESIS Senior Claims Representative
3 weeks ago
Overland Park, Kansas, United States Chubb Full timeJob Title: ESIS Senior Claims RepresentativeWe are seeking an experienced Senior Claims Representative to join our team at Chubb. As a Senior Claims Representative, you will be responsible for handling and maintaining all Auto & General Liability claims and file reviews under general supervision of a supervisor and as part of the ESIS team.Key...
-
Auto Claims Adjuster
3 days ago
Overland Park, United States Sunrise Systems, Inc. Full timeJob Title: Auto Claims Adjuster Location: 9225 Indian Creek Pkwy, Overland Park, KS 66210 Duration: 6+ Months Position Type: Hourly contract Position (W2 only) Note • Training-During 4 weeks of training will be 40 hours per week on site. At manager's discretion, will determine if ready for hybrid schedule • Work schedule-Hybrid- in...
-
Claims Management Supervisor
3 days ago
Bedford Park, Illinois, United States Warrior Insurance Network Full timeJob Title: Casualty Claims SupervisorAt Warrior Insurance Network, we are seeking a highly skilled and experienced Casualty Claims Supervisor to join our Claims Management Team. As a key member of our team, you will be responsible for the direct supervision of the Casualty Claims unit, ensuring compliance with State mandated claims handling guidelines and...
-
Casualty Claims Supervisor
2 months ago
Bedford Park, United States Warrior Insurance Network Full timeWe are adding to our Claims Management Team! The Casualty Claims Supervisor will be responsible for the direct supervision of the Casualty Claims unit. Scope of the position includes ensuring compliance with State mandated claims handling guidelines and assuring proper investigation and conclusions of claims. Monitor production, staff development and the...
-
Casualty Claims Supervisor
2 months ago
Bedford Park, United States First Chicago Insurance Company Full timeWe are adding to our Claims Management Team! The Casualty Claims Supervisor will be responsible for the direct supervision of the Casualty Claims unit. Scope of the position includes ensuring compliance with State mandated claims handling guidelines and assuring proper investigation and conclusions of claims. Monitor production, staff development and the...
-
Claims Representative
4 weeks ago
Overland Park, Kansas, United States Chubb Full timeJob SummaryWe are seeking an experienced Claims Representative to join our team in Overland Park, KS. As a Claims Representative, you will be responsible for handling and maintaining all Auto, General & Liability claims and file reviews under the general supervision of a supervisor.Key ResponsibilitiesInvestigate and settle claims promptly, equitably, and...
-
Claims Representative
4 weeks ago
Overland Park, Kansas, United States Chubb Full timeJob SummaryWe are seeking an experienced Claims Representative to join our team in Overland Park, KS. As a Claims Representative, you will be responsible for handling and maintaining all Auto & General Liability claims and file reviews under general supervision of a supervisor and as part of the ESIS team.Key ResponsibilitiesInvestigate and settle claims...
-
Reimbursement Supervisor
3 days ago
Overland Park, Kansas, United States WellSky Full timeAt WellSky, we're a market-leading provider of revenue cycle management (RCM) solutions to Skilled Nursing Facilities (SNFs). Our holistic approach to accounts receivable encompasses every aspect of A/R management, from admission to collections.We're seeking a full-time Reimbursement Supervisor for our HMO Billing Team. The ideal candidate has experience...
-
Medical Claims Specialist
3 days ago
Tinley Park, Illinois, United States St. Coletta's of Illinois Full timeBilling SpecialistWe are seeking a highly skilled Billing Specialist to join our Finance team at St. Coletta's of Illinois. This critical role is responsible for ensuring accurate and timely medical claims submission to insurance companies and the State's payment system.Key Responsibilities:Collect and verify patient demographic and health insurance...
-
Reimbursement Supervisor
2 weeks ago
Overland Park, Kansas, United States WellSky Full timeJob Title: Reimbursement SupervisorWellSky is seeking a highly skilled Reimbursement Supervisor to join our HMO Billing Team. As a key member of our team, you will be responsible for ensuring proper financial reimbursement for health insurance claims.Key Responsibilities:Work with clients to meet end-of-month closing deadlines and ensure all reports and...
