What are the responsibilities and job description for the Supervisor, Claims Operations position at CGS Administrators?
Summary
Supervises an area responsible for the timely and comprehensive investigation and processing of assigned claims. Responsible for recruiting and hiring, coaching and mentoring, monitoring and evaluation, and addressing all disciplinary issues on the team in a timely manner.Description
What You Will Do:
- Ensure the timely processing and adjudication of all claims.
- Performs quality control reviews and/or monitor performance of staff to ensure appropriate understanding and utilization of applicable laws, contract policies, and procedures.
- Monitors production and timeliness of work and maintains desk procedures.
- Responsible for recruiting and hiring, coaching and mentoring, monitoring and evaluation, and addressing all disciplinary issues in a timely manner.
- Encourage staff in creating and maintaining a work environment with high morale and employee satisfaction through support of professional development, training, career growth, and rewarding high performance.
- Establish and maintain a strong working relationship with all internal and external customers.
What is Required:
- Bachelor's Degree or equivalency of 4 years job related work experience or Associate's and 2 years job related work experience.
- 1 year of claims processing experience. 1
- year of lead experience (may be concurrent).
- Strong organizational, leadership, decision making, analytical, problem solving, interpersonal and time management skills.
- Strong knowledge of claims processing and related support systems.
- Strong verbal and written communication skills.
- Ability to handle confidential or sensitive information with discretion.
- Proficient with Microsoft Office Products.
- Ability to travel as needed.
We Prefer You to Have:
- Bachelor's degree-in Business Management or Administration.
- 6 years-of claims processing experience.
- Previous supervisory experience or equivalent military experience in grade E4 of above.
- Strong presentation skills.
- Ability to persuade, negotiate and influence.
What Blue Can Do for You:
Our comprehensive benefits package includes:
- 401(k) retirement savings plan with company match.
- Subsidized health plans and free vision coverage.
- Life insurance.
- Paid Annual Leave (the longer you work here, the more you earn).
- Nine Paid Holidays.
- On-site cafeterias and fitness centers in major locations.
- Wellness Programs and a Healthy Lifestyle Premium Discount.
- Tuition Assistance.
- Service Recognition.
- Realistic career advancement opportunities.
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Some states have required notifications. Here's
more information
.
Equal Employment Opportunity Statement:
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail
mycareer.help@bcbssc.com
or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Some states have required notifications. Here's
more information
.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
