Claims Team Leader
2 weeks ago
Position Overview
The Claims Operations Supervisor is responsible for overseeing the performance of the Claims Team, ensuring effective leadership and support through daily coaching, constructive feedback, and clear direction. This role is pivotal in fostering a positive work environment and implementing reward mechanisms to enhance team morale.
Key Responsibilities
- Manage daily assignments by monitoring inventory levels and the aging of claims, ensuring optimal workflow.
- Recruit and maintain appropriate staffing levels to guarantee consistent and high-quality claims processing.
- Engage in strategic resource planning to boost productivity and improve turnaround times.
- Stay informed about Federal and State regulations, as well as client requirements, to implement necessary changes in claims and billing practices.
- Develop, refine, and track performance metrics to achieve goals related to quality, efficiency, service, and productivity.
- Provide specialized support to teams in the areas of claims review, research, investigation, negotiation, processing, and adjustment.
- Identify and allocate resources for re-work as needed.
- Analyze trends and generate comprehensive reports to inform decision-making.
Team Development
Conduct regular team meetings aimed at enhancing performance, quality, and documentation practices. Additionally, facilitate training sessions for new employees to ensure they meet the required performance metrics in a timely manner.
Ultimate Staffing is committed to creating a diverse environment and is proud to be an equal opportunity employer. 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.
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