Supervisor Claims - HNAS jobs in United States
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Highmark · 11 hours ago

Supervisor Claims - HNAS

Highmark Inc. is a national blended health organization focused on creating remarkable health experiences. The Supervisor Claims role involves supervising and coordinating the daily activities of claims processing units, ensuring effective communication and resource management while also acting as a subject matter expert in claims issues.

Health CareHealth InsuranceInsuranceWellness

Responsibilities

Communicate effectively
Effectively supervise all assigned personnel
Coordinate any claim backlog distribution for regular and overtime work both interdepartmentally and companywide
Monitor and manage daily inventories to ensure adequate staffing and resources are available
Subject matter expert for benefit plan and claims processing issues, implementation of new groups and products, and transition meetings
Research quality issues and respond to error assessments
Ensure all business processes are routinely monitored. Recommend and design, if necessary, process improvements designed to improve accuracy, timeliness of process and/or eliminate manual effort
Other duties as assigned or requested

Qualification

Claims processing methodologiesHighmark productsProcessing systemsInterpret government regulationsSupervisory skills

Required

High School Diploma or GED
2 years experience in a claims environment
1 year experience leading or supervising others
Knowledge of multiple processing systems and workflows
Knowledge of claims processing methodologies
Ability to interpret all government regulations
Knowledge of Highmark products

Preferred

Bachelor's degree

Company

Highmark

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Highmark provides health insurance plans for individuals and businesses.

Funding

Current Stage
Late Stage
Total Funding
$27.3M
2018-04-06Grant· $25M
2014-08-07Grant· $2.3M

Leadership Team

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Deborah Rice-Johnson
CEO, Diversified Businesses at Highmark Inc. and Chief Growth Officer
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Paul Sikora
CTO Provider Services
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Company data provided by crunchbase