Supervisor, Claims

Job Description

Job Description

Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real impact motivate and energize you? If so, Health Plans, Inc. is the place for you. Join a team that values integrity, flexibility, loyalty, compassion and dedication—we can’t wait to meet you.

What we do HPI is unique. A respected industry leader that’s been serving customers for over 40 years, we’re known for our innovation and growth. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on. Not just a job—a mission.

What you’ll do The Claims Supervisor will oversee a dedicated unit of Claim Examiners and Claim Seniors. The Supervisor will oversee the daily team operations and plan for future workflow and scheduling. The Supervisor will mentor Claims Seniors and staff to better coordinate the daily production, turnaround time and work quality of claims processing while meeting company goals. The Supervisor will coordinate new business group implementation and testing on new business. The Supervisor will set policy & procedures and work with the auditing team on audit appeals. The Supervisor will also oversee work set up queues working with the Technical Resource Unit.

In this role, you’ll also: Work with Claim Seniors to create and manage department work schedules Complete weekly turnaround time reports Attend new business implementation meetings Assist in supervisor level phone calls Review and maintain department policies and procedures Partner with department manager to identify team inefficiencies and solutions In conjunction with department manager, hire, train, and manage staff within the claims teams Monitor employee performance; write and/or deliver annual reviews Work with department manager regarding staff performance, development and training functions Advise department manager of issues raised by staff; suggest actions to improve processing or resolve issues Work with appropriate subject matter experts to provide necessary training within the team Work with Account Services to implement and test new business and support renewing business within the team Work with Technical Resource Unit to audit claim system build Manage relationships with internal and external business associates Process threshold claims to a maximum dollar level of $100,000 Process Medicare demand payments Handle special projects as assigned by the Manager

What you bring High school diploma or equivalent education Three to five years’ of claims processing experience Proficient in Microsoft Office, including Word, Excel, Outlook and PowerPoint

Why choose us? Our space is a reflection of who we are—innovative, open and collaborative. Love to get creative? We do too. Brainstorm in one of our team break-out rooms. We think feeling your best is an important factor in producing great work, so we embrace a “smart casual” dress code and work at ergonomic desks. Need to reenergize? Take a break to chat in the onsite café, go for a walk on one of the beautiful trails in our office park, or get in a quick workout at one of the campus gyms. We offer our employees flexible work arrangements including remote and hybrid options (depending on the position) We’re a people-first company and value giving back to our community. Ask us about our RISE Committee & and volunteer opportunities.

Benefits We care about you and believe the greatest gift you can give yourself, your family, and the world is a healthy you We offer a comprehensive and competitive benefits package to help you lead a happy, healthy life. Check out some of the benefits we offer to our team: Medical, Dental and Vision Coverage Prescription Drug Coverage Fitness Reimbursement Benefit Tobacco Cessation Program Employee Assistance Program Flexible Spending Account & Health Savings Account 401(k) and Profit-Sharing Plan Quarterly Bonuses Generous Paid-Time Off Volunteer Days Education Assistance & Professional Development Opportunities ….and much much more

So, think you want to join the HPI team? We hope to hear from you

You can read more about us at hpitpa.com/about-us/careers/

EEO/AA/M/F/Vet/Disability

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