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BCBS Global Solutions · 19 hours ago

Supervisor - Claims

King of Prussia, PA

Full-time

Hybrid

Mid, Senior Level

$65K/yr - $65K/yr

3+ years exp

BCBS Global Solutions is dedicated to providing easy access to healthcare abroad through digital innovation and human-centered care. The Supervisor – Claims is responsible for coaching and developing employees to meet quality and service level requirements while overseeing daily operations of the Claims team.

ConsultingFinancial ServicesHealth CareHealth InsuranceInsurance

Responsibilities

Assists and supports team members’ claim processing inquiries to ensure accurate claim processing

Oversee and directs the day-to-day activities of the Claims team, motivating and directing staff to meet departmental goals and performance standards

Daily monitoring of inventory and daily assignments to ensure TAT goals

Monitors and evaluates team quality and productivity results, providing coaching and taking corrective action if necessary

Monitors and maintains key performance metrics and collaborates on planning and execution of remedial plans to close any performance gaps

Works on company projects to increase productivity, reduce costs and improve quality, efficiency, and service to customers and internal departments as required

Other duties as assigned

Qualification

Claims processingHealth insurance experienceSupervisory skillsFluent EnglishCoachingTrainingCommunication skillsDecision makingMultitaskingPerformance evaluationCollaboration

Required

College degree or equivalent work experience – prior supervisory or management preferred

Three to Five years' experience in the health insurance industry examining and adjudicating medical claims

Ability to coach, train, and motivate employees, as well as evaluate staff performance

Ability to manage multiple tasks simultaneously

Excellent verbal and written communication skills are needed to effectively deal with employees, customers, vendors, and other departments to represent the company and its goals and interests

Able to establish and maintain collaborative partnerships across the organization

Ability to see the 'big picture,' leading a team to make strong and reliable recommendations for improving operational performance

Ability to make decisions and support them with documentation

Must speak and write fluent English

Employee is required to have at minimum an internet speed of 75 Mbps (standard high-speed internet access)