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Claims Supervisor - Provider Operations - Remote

Posted Yesterday
Customer Service
Full Time
USA
56,500 - 94,100 USD/year

Overview

The Claims Supervisor leads a high-performing team of claims processors, driving accuracy, productivity, and service excellence within the Provider Operations Team.

In Short

  • Lead and manage daily operations of a claims processing team.
  • Drive quality, productivity, and service goals.
  • Develop, coach, and motivate team members.
  • Utilize KPI dashboards to monitor performance.
  • Act as a change leader to improve workflows.
  • Ensure compliance with corporate policies and regulations.
  • Collaborate with HR on staffing and performance management.
  • Foster an inclusive team environment.
  • Communicate effectively in a virtual setting.
  • Stay informed of changes in the healthcare environment.

Requirements

  • High School Diploma or GED required; Bachelor’s preferred.
  • 3+ years’ experience in claims operations preferred.
  • Experience using KPIs to drive results.
  • Proven ability to lead and develop employees.
  • Strong customer focus and commitment to quality.
  • Excellent communication and problem-solving skills.
  • Ability to drive change and process improvement.
  • Strong organizational and time management skills.

Benefits

  • Comprehensive health-related benefits starting day one.
  • 401(k) and company paid life insurance.
  • Tuition reimbursement.
  • Minimum of 18 days of paid time off per year.
  • Paid holidays.

MDLive

MDLive

520 eviCore healthcare MSI, LLC, a part of Evernorth Health Services and The Cigna Group, is dedicated to creating innovative pharmacy, care, and benefit solutions aimed at improving health and enhancing vitality. The company focuses on making healthcare more accessible through expert medical reviews and clinical services, ensuring that patients receive the necessary care while adhering to utilization management standards. With a commitment to continuous improvement and support for healthcare professionals, 520 eviCore healthcare MSI, LLC plays a vital role in the healthcare ecosystem, driving growth and improving lives.

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