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    55 minutes ago

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Supervisor Claims Payment/Customer Service

3 months ago

Philadelphia, United States Independence Blue Cross Full time

Job responsibilities include:

•Participate in hiring and orientation of new employees.

•Perform Quality Assurance audits on trainees assigned to a specific service center under supervisors' control. Audits are done on 100% basis until a trainee has established an acceptable pattern of performance.

•Recommend and/or provide training to supplement initial orientation. This includes claim system modifications, client benefit changes and/or updates.

•Process payroll for direct reports.

•Controls inventory levels by monitoring incoming volumes, productivity and staffing on a daily basis. Claim volume levels consistently comply with departmental standard and client expectation.

•Monitor individual claim examiners on a random basis for quality assurance and evaluation purposes.

•Develops staff through coaching, counseling, delegation and performance appraisals.

•Make recommendations to management regarding employee merits and promotions, including participation in budget process and management.

•Participate with management in setting claim processing and claim :eayment accuracy standards.

•A minimum of a high school diploma or equivalency is required, or a degree in the absence of required experience.

•A minimum of five years experience in a health care or related setting, with two years in a supervisory capacity.

•Excellent interpersonal and leadership skills to interact with direct reports, internal and external customers.

•Excellent organizational and communication skills.

•Ability to problem solve, prioritize, maintain a flexible disposition and work in controlled environment in order to accurately process claims.

•Ability to identify, research claim issues and process claims in a timely manner.

•Candidates must have strong PC skills and the ability to use multiple systems in order to expedite claim adjudication.