Member Services Supervisor supervises a group of member services representatives that address health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for researching more complex questions, investigating the cause of the issue, and responding to members on escalated issues. Being a Member Services Supervisor assists with hiring, training, ongoing monitoring and QA, performance evaluations and any corrective actions of member services representatives. Requires a high school diploma or its equivalent. Additionally, Member Services Supervisor typically reports to a manager. The Member Services 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. Thorough knowledge of functional area under supervision. To be a Member Services Supervisor typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)
Summary Description
The Working Supervisor will lead the assigned site as they work together towards meeting the financial and operational goals, focusing on safety and quality. This position will strive to ensure optimum utilization, efficiency, and economy of the site operation. The responsibilities will include but are not limited to leading the production team and overseeing overall operations including safety, environmental, quality assurance and control, production, materials, financial goals, training, and customer relations.
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