Claims Processing Supervisor jobs in Springdale, AR
Claims Processing Supervisor supervises the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures the accurate and timely disposition of claims and resolves matters according to coverage amounts and company procedures. Being a Claims Processing Supervisor provides guidance to staff on more complex or high-value claims. Reviews and resolves escalated issues. Additionally, Claims Processing Supervisor requires a high school diploma. Typically reports to a manager. The Claims Processing 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. To be a Claims Processing Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. (Copyright 2024 Salary.com)
Recently Added Claims Processing Supervisor jobs
Claims Care Supervisor
- Missouri Employers Mutual
-
Sulphur, AR
FULL_TIME
-
Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual.
We’ve created a casual, values-driven work culture that’s making a positive impact on the way people live and work. This is a place where you can grow with confidence — because that’s what safety and success really mean to us.
SUMMARY:
This position works closely with the Claims Operations Manager to ensure success of the department is achieved through supervising dedicated employees who provide the highest level of customer service and administrative support to MEM’s internal partners, policyholders, producers, injured workers, and vendors.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Functional Leadership
Perform job duties in accordance with and participate in the commitment to MEM’s vision, mission, and values.
Manage and utilize the appropriate resources to ensure work is completed efficiently and within established service standards.
Manage and maintain professional working relationships with internal and external customers and co-workers.
Demonstrate leadership in accordance with MEM’s vision, mission, and values.
Assist the Claims Operations Manager in providing support and leadership on strategic initiatives for the department and company. Participate in the execution of strategic and operational processes to ensure the long-term profitability and success of MEM.
Assist Claims Operations Manager in planning and setting departmental priorities, goals and objectives.
Oversee the data integrity of all processes within area of responsibility to ensure accurate and timely processing.
Maintain reports pertaining as needed related to claims service production.
Provide Claims Operations Manager with monthly analyses, key findings, and recommendations.
Eliminate barriers to efficient and effective operations within the department.
Act as point of contact on day-to-day issues with internal functional departments.
Support cross-functional teamwork and participate in various teams, committees, and ad-hoc groups as assigned.
Team & People Leadership
Manage time effectively to ensure productivity levels and turnaround times are within established service standards.
Acts as an advisor to other department leaders, Claims Care Advocates, and Office Assistants.
Supervises and provides Quality Service Evaluations to ensure exceptional customer service and compliance with department policy and procedure. This role is responsible for providing effective and timely feedback to Claims Care Advocates and Office Assistant assigned to their team.
Set standards, policies, and procedures for the team in accordance with best practices. Ensure compliance with all relevant statutory laws.
Evaluate staff performance by conducting timely quarterly feedback and annual performance reviews for all direct reports utilizing the MEM Performance Management System. This includes providing mentoring and coaching for direct reports.
Manage the delivery and execution of exceptional claims care support. Ensure the unit’s goals are aligned with Company goals and achieve high levels of satisfaction from customers. Encourage employee commitment to MEM’s vision, mission and values.
This role is accountable for building an effective and cohesive team through the selection, training, development, coaching, and discipline of professional and support staff.
Ensures the delivery of customer service that leads with a “human voice” for MEM customers, with clear answers to inquiries, and appropriate referrals as needed.
Continuous Improvement
Interact with other departments to ensure the quality and timeliness of service provided.
Learn new procedures and policies through training sessions, coworkers, and updates within MEM. Assist in training Claims Care Advocates or other coworkers on job duties.
Represent the Claims Care team through participating in user acceptance testing of system enhancements, projects and changes as requested by management.
Enforce compliance with MEM’s corporate governance model and all policies and procedures around such at all times.
Participate in special projects and perform other duties and responsibilities as required to fulfill job functions as assigned by management.
Vendor and Budget Management
Interact with other departments to ensure the quality and timeliness of service provided.
Learn new procedures and policies through training sessions, coworkers, and updates within MEM. Assist in training Claims Care Advocates or other coworkers on job duties.
Represent the Claims Care team through participating in user acceptance testing of system enhancements, projects and changes as requested by management.
Enforce compliance with MEM’s corporate governance model and all policies and procedures around such at all times.
Participate in special projects and perform other duties and responsibilities as required to fulfill job functions as assigned by management.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education: A bachelor’s degree in business administration, Marketing or Insurance is preferred. Equivalent combination of education and experience is acceptable.
Experience: Three years’ experience in insurance, in the areas of Customer Service and Claims or Underwriting with an emphasis in workers’ compensation is preferred.
Designations/Certifications: General Insurance, AIS and AIC are preferred designations, but are not required.
LICENSES
None Required
Leadership Competencies
Establishing focus
Fostering teamwork
Influencing others
Fostering diversity
Competencies and Behavioral Skills
Communication
Accountability/Self-Management
Problem Solving
Customer Orientation
Build Collaborative Relationships
Adaptability
Detail Oriented
Technical Competencies
Intermediate level of experience in Microsoft Office Suite (e.g., Outlook, Excel, PowerPoint, Word etc.).
Arithmetic reasoning
Accounting mathematics
Ability to reconcile payment histories.
Budget management capability.
Our home office is located in vibrant Columbia, Missouri — #6 in Livability’s 2019 Best Places to Live. - 1 Month Ago
Field Claims Supervisor - Apd
- Farmers Insurance Group
-
Sulphur, AR
OTHER
- We are Farmers! We are… more than just your favorite commercials. At Farmers, we strive to deliver peace of mind to our customers by providing protection and comprehensive advice and delivering in the...
- 1 Month Ago
WACO Closing Processing Supervisor
- Arvest Bank
-
Fayetteville, AR
FULL_TIME
- Pay is based on a number of factors including the successful candidate’s job-related knowledge and skills, qualifications, and prior experience. Arvest offers a comprehensive suite of benefits, includ...
- 14 Days Ago
Claims Coordinator
- TWO MEN AND A TRUCK®
-
Bentonville, AR
FULL_TIME
- Pay: $20 per hour The Claims Coordinator’s overall responsibility is to deliver the highest customer service to our customers and manage all customer claims. In this position, you will ensure the fran...
- 1 Month Ago
Sterile Processing Technician Sterile Processing
- Triage Staffing
-
Rogers, AR
OTHER
- Start Date: ASAP Shift: 12H Variable ( 12:00 AM-12:00 AM )Location: Rogers, ARLength: 13 weeksWeekly Hours: 40.0Beds: At least 2 years’ experience
- 1 Month Ago
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0 Claims Processing Supervisor jobs found in Springdale, AR area
Senior Regional Operations Manager - Remote US
- Watco
-
Lowell, AR
- Senior Regional Operations Manager - Watco Logistics The Senior Regional Operations Manager is responsible for providing...
- 4/26/2024 12:00:00 AM
Project Manager
- CRH
-
Fayetteville, AR
- APAC Central Inc., is a CRH company producing and providing crushed aggregate materials, sand, ready-mix concrete, aspha...
- 4/26/2024 12:00:00 AM
Project Coordinator L8R9RW8V
- Icreatives
-
Rogers, AR
- Do you thrive leading fast-paced projects and teams to success? Do you have a background or passion for product developm...
- 4/26/2024 12:00:00 AM
Project Coordinator L8R9RW8V
- icreatives
-
Rogers, AR
- Do you thrive leading fast-paced projects and teams to success? Do you have a background or passion for product developm...
- 4/25/2024 12:00:00 AM
Project Manager
- Central States
-
Springdale, AR
- Come be an Employee-Owner of one of the nation's largest producers of metal roofing and siding! We sell, manufacture, bu...
- 4/23/2024 12:00:00 AM
Job Captain
- CESO, Inc.
-
Rogers, AR
- Are you a Job Captain seeking purpose, challenge, and talented colleagues? With a diverse portfolio of retail, hospitali...
- 4/22/2024 12:00:00 AM
Lead (PR07) - Chick N Quick
- Tyson Foods, Inc.
-
Rogers, AR
- Job Details: This position will also monitor all equipment to insure it is working properly and notify the supervisor of...
- 4/22/2024 12:00:00 AM
Supervisor - General Merchandise (Part-time) Razorback Shop Promenade mall
- BNED
-
Rogers, AR
- ** Supervisor - General Merchandise (Part-time) Razorback Shop Promenade mall** **Job Category****:** Supervisor **Requi...
- 4/22/2024 12:00:00 AM
About Springdale, Arkansas
According to the United States Census Bureau, the city has a total area of 108.9 square miles (282 km2), of which, 108.3 square miles (280 km2) of it is land and 0.7 square miles (1.8 km2) of it, or 0.62%, is water. The city limits extend north into southern Benton County. Springdale is bordered by the cities of Cave Springs, Lowell, and Bethel Heights to the north, by Elm Springs and Tontitown to the west, and by Johnson and Fayetteville to the south.
The city is located in both Benton and Washington counties along Interstate 49/US Highway 62/US Highway 71 (I-49/US 62/US 71). This is the only...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Supervisor jobs
$61,560 to $75,525
Springdale, Arkansas area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a Claims Processing Supervisor do?
Claims Processing Supervisor in New Bedford, MA
Claims processing supervisor with a bachelors degree and three years related exp is needed for a full-time, temporary opportunity.
February 19, 2020