Adjustment Clerk reviews and follows up on customer complaints regarding account balances and uncredited items. Analyzes associated documents and makes necessary adjustments to accounts and/or recommendations to resolve customer issues. Being an Adjustment Clerk communicates results of findings to customer. Requires a high school diploma or its equivalent. Additionally, Adjustment Clerk typically reports to a supervisor or manager. The Adjustment Clerk possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
SUMMARY:
The Manager is responsible for providing leadership for the team who is involved in analytics, evaluation, modeling, and performance in support of customers to meet the growth, retention, membership, pricing and service goals for all group and individual product lines of BCBSM and BCN Senior Health Services for key accounts, auto/national, Trust funds, and mid-small groups, individuals, consultants, providers, vendors, and managing/general agencies/agents. Monitor/mentor multiple projects simultaneously ensuring appropriate model designs and statistic methods are adopted. Drive the continuous method improvement in department analytic work. Assist in the planning and implementation of programs to improve revenue, control cost, improve quality and efficiency of services delivered to BCBSM and BCN Senior Health Services populations. Prepare presentations and technical reports in a clear and concise manner to communicate finding from analytics, modeling to leadership and other interested parties and groups. Other duties may be assigned. This role is also responsible for strategizing, innovating, analyzing, planning, organizing, budgeting, reporting, identifying equipment needs, and other functions that are required to maintain and operate an efficient and effective department.
RESPONSIBILITIES/TASKS:
DIRECTION EXERCISED:
Directly supervises exempt staff in accordance with company policies and applicable Federal and State Laws. Responsibilities include, but are not limited to, effectively interviewing, hiring, terminating, and training employees; planning, assigning, and directing work; appraising performance; rewarding and counseling employees; addressing complaints and resolving problems; supporting and encouraging the engagement process.
This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
EMPLOYMENT QUALIFICATIONS:
EDUCATION:
Bachelor’s degree in Business Administration, Mathematics, Statistics, Data Science, Finance, Health Care Administration, or a related field required. Master’s degree in a related field, certification or progress toward certification is highly preferred and encouraged. Continuous learning, as defined by the Company’s learning philosophy, is required.
EXPERIENCE:
5 years’ experience of progressive responsibility in a business environment with demonstrated technical knowledge that provides the necessary knowledge, skills, and abilities required. Three years supervisory or lead experience in business required.
SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:
WORKING CONDITIONS:
Work is performed in an office setting with no unusual hazards. Occasional travel is required.
The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.
We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.