Claims Processing Supervisor jobs in Sacramento, CA

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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Claims Supervisor
  • CorVel Corporation
  • Folsom, CA FULL_TIME
  • The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of claims department and of CorVel.

    This is a remote opportunity.


    ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

    • Supervises claims staff in their day-to-day operations
    • Supports Claims Manager in staff recruitment, interviews and training of new staff on procedures and job-related functions
    • Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements
    • Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations and recommends merit activity, subject to manager’s approval
    • Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues and service account instructions
    • Functions as liaison, suggesting and implementing final resolution for clients and employees regarding claim-specific, procedural or special requests
    • Adheres to HIPPA regulations, policies, and procedures
    • Requires regular and consistent attendance
    • Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
    • Adheres to all company policies, best practices and procedures
    • Additional projects and duties as assigned

    KNOWLEDGE & SKILLS:

    • Excellent written and verbal communication skills
    • Ability to assist team members to develop knowledge and understanding of claims practice
    • Participate in Customer Claim Reviews and Presentations
    • Effective quantitative, analytical and interpretive skills
    • Strong leadership, management and motivational skills
    • Demonstrated, Strong Customer Service Skills
    • Ability to travel overnight and attend meetings if required
    • Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc.
    • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
    • Strong interpersonal, time management and organizational skills
    • Ability to work both independently and within a team environment
    • Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation

    EDUCATION & EXPERIENCE:

    • Bachelor's degree or a combination of education and related experience
    • Demonstrated Public Speaking Skills
    • Minimum of 5 years’ experience handling claims
    • Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel
    • Self-Insured Certificate preferred
    • State Certification as an experienced Examiner

    PAY RANGE:

    CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

    For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

    Pay Range: $67,086 – $111,634

    A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management


    ABOUT CORVEL

    CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

    A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

    CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.


    #LI-Remote

  • 24 Days Ago

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Claims Supervisor
  • CorVel Brand
  • Folsom, CA FULL_TIME
  • The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedure...
  • 25 Days Ago

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Workers Compensation Claims Supervisor
  • Intercare Insurance
  • Rocklin, CA FULL_TIME
  • Workers Compensation Claims SupervisorJob DetailsJob TypeFull-timeRocklin, CADescription Summary:Reports directly to the Claims Manager. Under the direction of the Claims Manager, is responsible for t...
  • 22 Days Ago

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NorCal AOE/COE Claims Investigator
  • Atlas Claims Investigation
  • Sacramento, CA PART_TIME
  • Atlas Claims Investigation is looking for an experienced Workers' Compensation Investigator to conduct AOE/COE investigations in the Northern California region on a part time basis.Part Time W2 or 109...
  • 1 Month Ago

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Gift Processing Supervisor
  • University of California, Davis
  • Davis, CA FULL_TIME
  • Health Sciences Development & Alumni Relations (HSDA) is responsible for fundraising, donor relations, stewardship, and donor proffered gifts and bequests for UC Davis Health, including the School of ...
  • 21 Days Ago

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CA - Nor Cal - 1099 Claims Adjuster
  • Copper Claims Services, Inc.
  • Sacramento, CA FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 1 Month Ago

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0 Claims Processing Supervisor jobs found in Sacramento, CA area

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Capital Projects Manager - Transit Focused
  • Pennino Management Group
  • Sacramento, CA
  • Job Description Job Description Description: Assists Principals and Senior Project Managers with delivery of multiple pr...
  • 4/24/2024 12:00:00 AM

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Capital Projects Manager - Transit Focused
  • Pennino Management Group
  • Lodi, CA
  • Job Description Job Description Description: Assists Principals and Senior Project Managers with delivery of multiple pr...
  • 4/22/2024 12:00:00 AM

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Supervisor - Valet
  • Propark Mobility
  • Sacramento, CA
  • -: Valet Parking Supervisor Needed at Luxury Hotel Pay Rate: $17.50 per hour plus cash tip$! Job Type: Full-time and Par...
  • 4/22/2024 12:00:00 AM

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Agency/Program Manager
  • Merit System Services
  • Sacramento, CA
  • Salary: $42.18 - $51.28 Hourly Location : Sonora Job Type: Full-Time Job Number: MSS04410 Department: Tuolumne County De...
  • 4/22/2024 12:00:00 AM

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Transition Project Manager - Sacramento
  • PAYCOM
  • Sacramento, CA
  • Job Details Level Experienced Job Location Sacramento Office - Sacramento, CA Position Type Full Time Education Level Ba...
  • 4/21/2024 12:00:00 AM

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Deputy Director
  • Merit System Services
  • Sacramento, CA
  • Salary: $46.40 - $56.53 Hourly Location : Sonora Job Type: Full-Time Job Number: MSS04409 Department: Tuolumne County De...
  • 4/21/2024 12:00:00 AM

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Project Operations Coordinator
  • Tomra
  • West Sacramento, CA
  • Company Description About Us TOMRA Food designs and manufactures sensor-based sorting machines and integrated post-harve...
  • 4/21/2024 12:00:00 AM

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Bartender
  • Romano's Macaroni Grill
  • Roseville, CA
  • The Bartenders role is to provide Guest First service at all times, making the Guest the heart and passion of all they d...
  • 4/20/2024 12:00:00 AM

Sacramento (/ˌsækrəˈmɛntoʊ/ SAK-rə-MEN-toh; Spanish: [sakɾaˈmento]) is the capital city of the U.S. state of California and the seat of Sacramento County. Located at the confluence of the Sacramento River and the American River in Northern California's Sacramento Valley, Sacramento's estimated 2018 population of 501,334 makes it the sixth-largest city in California and the ninth largest capital in the United States. Sacramento is the seat of the California Assembly, the Governor of California, and Supreme Court of California, making it the state's political center and a hub for lobbying and th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Supervisor jobs
$73,048 to $89,618
Sacramento, California area prices
were up 2.5% 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