Claims Supervisor

Elite Technical
Glen Burnie, MD
Apr 20, 2017
Apr 21, 2017
Full Time
Job Description Elite Technical is currently seeking a Claims Supervisor for our client, a non-profit Healthcare Insurance organization, located in Glen Burnie, MD. T his position manages the claims inventory, and resources through timely and accurate processing of claims. Responsibilities include: The Claims Supervisor will overseeing approximately 16 Claims Administrators Administer Plan personnel policies/CBA accurately and equitably. Oversee the volume of claims that flow through the respective department to be manually adjudicated Meet given objectives to cycle time, QA and productivity. Operate within the unit administrative budget. Attention to quality of employees, projects ie implementation of systems and procedure writing Manage unit workflow and inventory. managing the claims that are worked in the department, ensuring they are completed accurately and timely - performing well against Update standards and unit procedures on a timely basis. Complete assignments in a timely manner. Participate and/or collaborate on assigned Health Plan projects. Other duties as assigned. **Qualifications** AA degree (or commensurate experience) preferred Strong work history. Continued employment in the Health Insurance (Payer) marketplace Three (3+) plus years' experience in a supervisory/work leader capacity. Extensive health insurance claims knowledge. - HealthSuite, QNXT (or equivalent) - Claims Processing, HIPAA and Benefit Plans - Claims Inventory (Volume of claims to be manually adjudicated) - Unit Workflow and Inventory (managing the claims) Decision making/problem-solving skills. Motivational/leadership skills. Good verbal and written communication skills. This is a mid-sized stable organization with employee longevity and stability. Our client is part of a National Union; the organization is responsible for a National Health Plan provided to their Union Membership. They are a preferred provider organization (PPO) committed to innovation in the Health Plan space. Their commitment goes beyond the Plans and Systems that manage the plans it goes to their employees. Our client is offering a competitive salary and benefits package that includes a Pension. In addition to a competitive full time salary, our client offers comprehensive benefits including; PTO's, 11 Holidays, Tuition, Pension, 401K, LTD, Life Insurance, Health/Dental and Vision Insurance. Are you qualified and interested in learning more about his opportunity? Contact Elite Technical for immediate consideration. Company Description Elite Technical Services has over two decades of practice credibility. We support all phases of IT project delivery (PMO), information technology service management (ITSM) and engineering implementation missions (Professional Services). Our customers include Federal Civilian and Defense Agencies as well as commercial Systems Integration firms from small disadvantaged businesses through Fortune 100 Companies. We combine the right talent with highly skilled outcomes-minded management to create a team that delivers program objectives and is focused on surpassing budget and schedule projections.

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