Claims Supervisor
- Job ID:
- Date:03/30/2008
- Location:Tampa
- State:Florida
- Degree:B.S./B.A.
- Salary:Not Specified Why?
- Job Types:
-
Dental Office, Dental Sales
Job Description
Healthplan Services (HPS) is a leader in the insurance industry. We sell and administer a variety of insurance programs for our carrier partners nationwide. We are growing again and are in search of talented and successful individuals to join our national sales team.
We are currently looking for a Claims Supervisor.
The Claim Supervisor will diverse problems that require interpretation of administrative and/or technical issues. Design, plan and execute project related tasks. Designs and documents procedures.
Responsibilities include:
- Leads team to deliver outstanding service results from a quality, speed, efficiency, and customer relationship enhancing standpoint
- Responsible for coaching and training, development, management and audit of subordinates.
- Takes supervisory level calls.
- Responsible for monitoring and managing backlog to stay in compliance with regulations and meet carrier requirements.
- Releases claims over examiners' limits, process high payments, adjust accumulators, resolves customer issues, etc.
- Responsible for assisting claims examiners with the following:
- Analyze and research claim issues
- Review and apply policy provisions
- Request and obtain necessary documents
- Release accurate benefits
- Document required system information
- Assist Director
- Must read and comprehend certificate books
- Comprehend complicated workflows
- Ability to travel to client sites, conferences, etc.
- Attend meetings and ability to conduct presentations for potential clients, vendors, etc.
Qualifications:
- Requires specialized knowledge where problems, assignments, and/or duties are difficult but related.
- Thinking independent but structured by broad principles.
- Requires integration and coordination of work.
- Specialized skills and procedural knowledge are essential.
- Bachelors preferred.
- 5-10 years experience in related field.
- Knowledge of Microsoft Office Suite as well as other business related software; 10 key.
HPS is a leading employer in the Tampa Bay Area. Our Tampa location is our company Headquarters, employing roughly 450 local employees, conveniently located in the Westshore Business District in Tampa, near Tampa International Airport. We offer an excellent benefits package including medical, dental, vision, 401K as well as free parking. Unfortunately, relocation assistance is not available for this position.
(712)
