Claims Resolution Supervisor

2 hours ago

Tampa, Florida, United States Acosta Group Full time
Job Title: Claims Resolution Supervisor

Acosta is seeking a highly skilled Claims Resolution Supervisor to join our team. As a Claims Resolution Supervisor, you will be responsible for supervising Claims Resolution Analysts and Claims Resolution Specialists, ensuring timely and financially compliant validation of incomplete and escalated claims.

Key Responsibilities:
  • Supervise Claims Resolution Analysts and Specialists to ensure timely and financially compliant validation of incomplete and escalated claims.
  • Analyze incomplete and escalated claims to increase Ready to Clear rate by determining the root cause and taking action to resolve it.
  • Ensure that Claims Resolution Analysts and Specialists are trained and proficient in their assigned work using analytical tools, quality reviews, client feedback, and management guidance.
  • Monitor attendance to ensure full coverage and maintain accurate attendance and payroll records.
  • Ensure that associate quality scores, ready to clear rate, and productivity meet or exceed expectations.
  • Communicate daily with other supervisors and the hub manager to ensure associates are handled consistently across the hub.
  • Ensure adherence to company and department policy, client service level agreements, and financial requirements for assigned team.
  • Serve as the Acosta resource for assigned clients and customers needing information and/or assistance with claims.
  • Use the required work management process to prevent backlog and resolve validation and clearing issues by communicating with associates, sales, clients, customers, and the management team.
  • Escalate recurring claims processing errors to the Hub Manager for assistance and escalate associate issues to the hub manager for assistance.
  • Serve as a mentor/resource for internal and external associates to improve accuracy and timeliness of claims processes.
  • Work with management to improve claims and repayment processes.
  • Use reporting tools and one-on-one sessions to monitor team performance/task completion on a daily, sometimes hourly basis and ensure all claims functions are current and are being performed accurately and efficiently.
  • Perform daily maintenance of the claims processing system to ensure that all claims are entered, accurate, assigned correctly, matching client records.
  • Maintain excellent working relationships with customers, clients, sales, management team.
Requirements:
  • Bachelor's degree or equivalent experience.
  • 2 years of supervisory experience.
  • Background in business process solutions and/or brokerage field preferred.
  • Accepts accountability for job performance; proactively informs others if problems limit the ability to meet expectations.
  • Accepts change as a normal part of doing business, maintains a positive attitude, and exhibits constructive work behaviors during periods of transition.
  • Meets work and attendance expectations; informs others in advance when commitments cannot be fulfilled.
  • Actively supports organizational goals and values; aligns actions around organizational goals; gives priority to organizational needs and concerns when making decisions.
  • Makes sound decisions based on the limited information available at the time, achieving forward progress even under ambiguous circumstances.
  • Takes a reasoned logical approach in making judgments and decisions, carefully reviews available facts and information before reaching any conclusions.
  • Sets high standards for personal and group accomplishment; creates measures to monitor progress toward goals; aggressively works to meet or exceed expectations.
  • Demonstrates an authentic interpersonal style that engages others and encourages high performance; uses coaching and mentoring skills to develop and support employee growth.
About Us:

Acosta and Mosaic are the sales and marketing powerhouses behind the most recognized and proven brands with top retailers in the United States and Canada. We offer flexible services that maximize efficiency. Acosta has the talent and technology to build data-, reach-, and relationship-driven strategies to execute those strategies, and the tools to monitor, track, and optimize metrics-based results for customers and retailers.

Acosta and its subsidiaries, in good faith, believe that this posted range of compensation is the accurate range for this role at the time of this posting. Acosta may ultimately pay more or less than the posted range depending on candidate qualifications and locations. This range may be modified in the future.

Acosta and its subsidiaries is an Equal Opportunity Employer. We are committed to providing accommodations for persons with disabilities. If you require accommodation, we will work with you to meet your needs, to the extent required by law.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. Mosaic reserves the right to modify all or part of any job descriptions at its discretion in order to meet and/or exceed the needs of the business.

By submitting your application, you agree with and accept the Acosta Privacy Statement and Terms of Conditions.

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