Claims Processing Supervisor jobs in Lansing, MI

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)

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Workers' Compensation Claim Supervisor - Hybrid (Michigan Claims)
  • CCMSI
  • Okemos, MI OTHER
  • Overview

    At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.    

     

    Reasons you should consider a career with CCMSI:

      • Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
      • Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
      • Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
      • Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.

     

    The Workers' Compensation Claim Supervisor is responsible for the investigation, adjustment and supervision of assigned claims.  This position may be used as an advanced training position for consideration for promotion to a management position. Is accountable for the quality of claim services as perceived by CCMSI clients and within our Corporate Claim Standards.

    Responsibilities

    • Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.
    • Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
    • Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
    • Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
    • Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
    • Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
    • Assist designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
    • Direct handling of designated litigated and complex claims.
    • Provide education, training and assist in the development of claim staff.
    • Review and maintain personal diary on claim system.
    • Supervision of all claim activity for specified accounts.
    • Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
    • Performs other duties as assigned.

    Qualifications

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

     

    • Excellent oral and written communication skills.
    • Initiative to set and achieve performance goals.
    • Good analytic and negotiation skills. 
    • Ability to cope with job pressures in a constantly changing environment. 
    • Knowledge of all lower level claim position responsibilities.
    • Must be detail oriented and a self-starter with strong organizational abilities. 
    • Ability to coordinate and prioritize required. 
    • Flexibility, accuracy, initiative and the ability to work with minimum supervision. 
    • Discretion and confidentiality required.
    • Reliable, predictable attendance within client service hours for the performance of this position.
    • Responsive to internal and external client needs.
    • Ability to clearly communicate verbally and/or in writing both internally and externally.

     

    Education and/or Experience   

    10 years workders' compensation claim experience is required.

    Three years supervisory experience is preferred.

                                                                

    Computer Skills   

    Proficient in Microsoft Office products such as Word, Excel, Outlook, etc.                           

     

    Certificates, Licenses, Registrations

    Adjusters license is preferred but not required 

    AIC, CPCU, or ARM preferred

     

     

    CORE VALUES & PRINCIPLES

    Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

     

    CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP and 401K.

  • 20 Days Ago

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Medical Claims Unit Supervisor (Workers Compensation)
  • Michigan Farm Bureau Family of Companies
  • Lansing, MI FULL_TIME
  • OBJECTIVE Medical Claims Unit Supervisor (Workers Compensation) Objective To lead an effective team of claim representatives so as to achieve a high level of file quality while delivering superior cus...
  • 1 Month Ago

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Claims Representative – CAT Claims
  • Auto-Owners Insurance Company
  • Lansing, MI FULL_TIME
  • A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Descriptio...
  • 19 Days Ago

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Processing Tech
  • Lake Life Farms Inc
  • Dimondale, MI FULL_TIME
  • Looking for eager, passionate, and motivated team members for an entry level position. Assist the processing department with pre-rolls and other duties as assigned. Must be willing to support the othe...
  • 4 Days Ago

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Claims Representative
  • Auto-Owners Insurance
  • Lansing, MI FULL_TIME
  • A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Descriptio...
  • 3 Days Ago

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Claims Assistant
  • SET SEG
  • East Lansing, MI FULL_TIME
  • Title: Claims Assistant Reports To: Claims ManagerLocation: East Lansing, MIDepartment: Property/Casualty & Workers’ CompensationSET SEG is looking for a...The Claims Assistant is responsible for cust...
  • 1 Month Ago

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0 Claims Processing Supervisor jobs found in Lansing, MI area

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Sanitation Supervisor
  • The Judge Group
  • Lansing, MI
  • Our client is currently seeking a Sanitation Supervisor for their Dairy Processing facility.Responsibilities: Supervise ...
  • 3/28/2024 12:00:00 AM

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Project Coordinator
  • Pan Asia Resources
  • Lansing, MI
  • Title: Project Coordinator Duration: 12 Months (Possible extensions) Location: Lansing, MI (Hybrid Role with 2 days onsi...
  • 3/28/2024 12:00:00 AM

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Subway Manager - 1501 E. Grand R.
  • 1755 - PORTLAND - SUBWAY
  • Portland, MI
  • As Subway Manager, youll be in charge of the in-store sandwich shop at Johnnys Markets. Youll work closely with the John...
  • 3/28/2024 12:00:00 AM

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Building Improvements Manager
  • A PLACE OF CHANGE MINISTRY
  • Grand Ledge, MI
  • Job Description Job Description The Opportunity: The role of the Building Improvements Manager will lead a team that wil...
  • 3/27/2024 12:00:00 AM

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Regional Vice President
  • Careerbuilder
  • Lansing, MI
  • Havenpark Communities was founded on the mission of creating caring communities for both our residents and employees. Ha...
  • 3/26/2024 12:00:00 AM

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Continuous Improvement Manager
  • ICF International, Inc.
  • Lansing, MI
  • Continuous Improvement Manager Utility Programs and Services Location: Michigan or Central US State (Remote - Home offic...
  • 3/25/2024 12:00:00 AM

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Solutions Director- Northeast Remote
  • CBRE
  • Lansing, MI
  • Solutions Director- Northeast Remote Job ID 147965 Posted 11-Mar-2024 Service line GWS Segment Role type Full-time Areas...
  • 3/24/2024 12:00:00 AM

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Project Manager
  • The Christman Company
  • Lansing, MI
  • Build More with Your Career at Christman Are you interested in becoming an employee-owner with an industry leader that w...
  • 3/24/2024 12:00:00 AM

Lansing /ˈlænsɪŋ/ is the capital of the U.S. state of Michigan. It is mostly in Ingham County, although portions of the city extend west into Eaton County and north into Clinton County. The 2010 Census placed the city's population at 114,297, making it the fifth largest city in Michigan. The population of its Metropolitan Statistical Area (MSA) was 464,036, while the even larger Combined Statistical Area (CSA) population, which includes Shiawassee County, was 534,684. It was named the new state capital of Michigan in 1847, ten years after Michigan became a state. The Lansing metropolitan area,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Supervisor jobs
$65,220 to $80,014
Lansing, Michigan area prices
were up 1.3% from a year ago

Claims Processing Supervisor in New Bedford, MA
Claims processing supervisor with a bachelors degree and three years related exp is needed for a full-time, temporary opportunity.
February 19, 2020