Claims Supervisor jobs in Portland, OR

Let’s do great things, together
 
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. 

Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

We are seeking a Supervisor for our Dental Claims Support team in the Dental Claims department. This role will provide supervision, coaching and support to Claims Processors. Organize staff, set goals, establish procedures, and continue to ensure claims are processed promptly and accurately. Measure and evaluate performance and results. Coach and train as required to achieve goals of quality and efficiency.

This is a hybrid position that will be on-site at our Portland & Milwaukie locations. 

To Apply, please use the link below: 

https://j.brt.mv/jb.do?reqGK=27722241&refresh=true

Required Skills & Credentials:

1. College degree or equivalent work experience.
2. 2 – 4 years dental claims processing experience, including one-year senior processing experience.
3. Computer proficiency with Microsoft Office applications.
4. Strong verbal, written, and interpersonal communication skills.
5. Strong analytical, problem solving, and decision-making skills.
6. Ability to work well under pressure with frequent interruptions and shifting priorities.
7. Maintain confidentiality and project a professional business image.

Primary Functions: 

1. Supervise staff giving daily work direction, vacation scheduling, monitoring attendance, giving performance reviews, and hiring and training new employees.
2. Facilitate problem solving for employees and Manager by answering claims related questions dealing with contract interpretation of benefits, procedures, and claims system.
3. Control workflow and quality by checking date and amount of work in auditors’ queues, assign work to ensure time service goals, track auditor production and quality.
4. Assist with planning by analyzing amount of work and type of work, assigns and sets priorities and decides on retraining needs.
5. Motivate and coach auditors by reviewing results with them, convey to them what is expected of them, ask for suggestions, and fulfill the needs of training.
6. Other duties as assigned

• Medical, Dental, Vision and Pharmacy
• FSA and 401K
• PTO and paid company holidays