Claims Processing Supervisor supervises the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures the accurate and timely disposition of claims and resolves matters according to coverage amounts and company procedures. Being a Claims Processing Supervisor provides guidance to staff on more complex or high-value claims. Reviews and resolves escalated issues. Additionally, Claims Processing Supervisor requires a high school diploma. Typically reports to a manager. The Claims Processing Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. To be a Claims Processing Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. (Copyright 2024 Salary.com)
Purpose/Scope:
· Supervises and coordinates activities of employees in assigned department. Ensures that all policies, procedures, and guidelines are followed while producing a quality, cost effective product in a safe and timely manner.
Duties & Responsibilities:
· Trains, directs, and ensure employees meet requirements and job function according to company, state, and federal guidelines.
· Ensures product and processing meets required standards and guidelines of customer, federal and state.
· Plans and schedules manpower; people, positions, work schedules, and flow.
· Interprets company policies to employees and enforces regulations.
· Maintains production records.
· Ensures goals are met daily and improve morale in department.
· Reports machine and equipment malfunction to maintenance personnel.
· Reports product production, efficiency, and other production related data to Management.
· Ensures department and production area is neat, clean, and safe for operations.
· Ensures that all employees use required PPE and follow all safety guidelines of the Company.
· Performs other duties as assigned
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