Claims Processing Supervisor jobs in Tampa, FL

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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Quality Manager, Claims Processing
  • ImageNetLLC
  • Tampa, FL FULL_TIME
  • Imagenet, LLC is seeking an experienced Quality Manager, Claims Processing to join our team. In this role, you will be responsible for overseeing the performance and quality of our claims processing department.

     

    Responsibilities:

     

    Develop and implement quality assurance policies, procedures, and standards for claims processing

    Monitor claims processing metrics such as productivity, accuracy, turnaround times, and customer satisfaction

    Identify areas for improvement in claims processing and develop solutions

    Conduct audits on a sample of processed claims to ensure adherence to regulations, guidelines, and quality standards

    Analyze performance data, identify trends and root causes of defects, and suggest process improvements

    Coach and mentor claims processing staff on performance, compliance, and career development

    Create and manage quality assurance training programs for claims staff

    Track quality standards and report on quality goals and progress to senior management

     

    Requirements:

     

    Previous claims processing quality management or related field preferred

    5 years of experience in claims processing, including 3 years in a quality assurance role

    Expert knowledge of claims processing procedures, quality standards, and regulatory requirements

    Strong analytical and problem-solving skills

    Ability to interpret data and generate detailed reports (daily/weekly/monthly) in graphs & presentations

    Experience developing and conducting quality audits

    Leadership skills with the ability to influence outcomes and drive change

    Excellent communication and presentation abilities

     

    This is an opportunity to oversee quality for a growing claims processing provider . If you have the required claims processing and quality assurance experience, please apply with your resume.


    COMPANY OVERVIEW

    Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans’ members and providers.


    The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans’ members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


    Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.


    Imagenet LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

  • 20 Days Ago

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Claims Supervisor
  • Safepoint MGA, LLC
  • Tampa, FL FULL_TIME
  • Are you an experienced Claims Adjuster and a natural leader with a passion for guiding teams? Join us as a Claims Supervisor and lead our team to success with your exceptional leadership skills!Safepo...
  • 1 Month Ago

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Claims Advisor
  • European Consumer Claims (ECC)
  • Tampa, FL FULL_TIME
  • American Consumer Claims LLC is looking to fill the role of a full-time on-site Claims Advisor. This is an excellent opportunity for recent grads or someone looking to make a career change. The Appoin...
  • 4 Days Ago

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Supervisor, Sterile Processing - Travel
  • Steris Corporation
  • Tampa, FL FULL_TIME
  • Job Title: Supervisor, Sterile Processing - Travel Req ID: 41750 Job Category: Clinical Support, Operations & Education Tampa, FL, US, 33592 Description: At STERIS, we help our Customers create a heal...
  • 1 Month Ago

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Insurance Inspector
  • Coastal Claims
  • Tampa, FL FULL_TIME
  • Coastal Claims Services, based in New Smyrna Beach, FL is seeking an Insurance Inspector to cover Tampa and the west coast of Florida. Job Overview:We are seeking a detail-oriented and experienced Ins...
  • 6 Days Ago

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Medical Claims Supervisor - Remote Possible
  • ImageNetLLC
  • Tampa, FL FULL_TIME
  • Imagenet LLC is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. Our core business is helping...
  • 20 Days Ago

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0 Claims Processing Supervisor jobs found in Tampa, FL area

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Supervisor (Part-time) Hillsborough Community Collège Brandon Campus
  • Barnes & Noble Education
  • Tampa, FL
  • **Introduction** Barnes & Noble College is a retail partner for nearly 800 colleges and universities nationwide. We offe...
  • 3/29/2024 12:00:00 AM

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Transaction Management Director
  • CBRE
  • Tampa, FL
  • Transaction Management Director Job ID 157273 Posted 04-Mar-2024 Service line Advisory Segment Role type Full-time Areas...
  • 3/29/2024 12:00:00 AM

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Project Coordinator
  • Floor Interior Services Corp.
  • Tampa, FL
  • We are looking for customer-oriented Project Coordinators. A Project Coordinator, or PC, is the liaison, providing servi...
  • 3/29/2024 12:00:00 AM

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Physician Services - Coding, Billing & Appeals Supervisor
  • Sherloq Solutions
  • Tampa, FL
  • Remote Work Available SHERLOQ Revenue Solutions is looking to hire for the position of full-time Coding Supervisor, Insu...
  • 3/29/2024 12:00:00 AM

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Futures Operations Associate
  • Social Capital Resources
  • Tampa, FL
  • A top-tier Financial Services Firm in Tampa, Florida is seeking a Futures Operations Associate Responsibilities: Support...
  • 3/28/2024 12:00:00 AM

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Project Coordinator - Architecture
  • AECOM
  • Tampa, FL
  • **Company Description** **Work with Us. Change the World.** At AECOM, we're delivering a better world. Whether improving...
  • 3/27/2024 12:00:00 AM

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Central Sterile Processing Supervisor
  • Texas Health Huguley FWS
  • Wesley Chapel, FL
  • Job Description - Central Sterile Processing Supervisor (24010189) Job Description Job Number: Central Sterile Processin...
  • 3/26/2024 12:00:00 AM

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Production Lead
  • Reddy Ice Holdings, Inc.
  • Plant City, FL
  • Job Requisition JR19990 Worker Time Type Full time Worker Sub-Type Regular Shift Job Description We Are Reddy Ice Behind...
  • 3/26/2024 12:00:00 AM

Tampa is a major city in, and the county seat of, Hillsborough County, Florida, United States. It is on the west coast of Florida on Tampa Bay, near the Gulf of Mexico, and is the largest city in the Tampa Bay Area. The bay's port is the largest in the state, near downtown's Channel District. Bayshore Boulevard runs along the bay, and is east of the historic Hyde Park neighborhood. Today, Tampa is part of the metropolitan area most commonly referred to as the "Tampa Bay Area". For U.S. Census purposes, Tampa is part of the Tampa-St. Petersburg-Clearwater, Florida Metropolitan Statistical Area....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Supervisor jobs
$64,128 to $78,675
Tampa, Florida area prices
were up 1.1% 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