What are the responsibilities and job description for the Claims Supervisor - REMOTE position at S&S Healthcare?
S&S Health is a leading healthcare administration company based in Cincinnati, Ohio, specializing in self, level, and fully funded solutions aimed at lowering costs and improving outcomes while providing a consumer-centric experience. With a nationwide presence, S&S Health delivers comprehensive benefits, services, and technology platforms tailored to meet the unique needs of employers, third-party administrators (TPAs), and health systems.
The Claims Supervisor is responsible for overseeing and guiding the daily operations of our Claims team. This role involves managing a team of Claims Examiners, focusing on team development, KPI management, and process improvement initiatives to ensure efficient and accurate claims processing.
Key Responsibilities:
- Team Management: Supervise and support a team of Claims Examiners, including delegating tasks, monitoring performance, and providing guidance on complex claims issues.
- Operational Oversight: Manage daily inventory reports, assign tickets, and oversee workload distribution to ensure efficiency and quality standards are met.
- Process Improvement: Identify opportunities for process enhancements and implement changes to improve workflow efficiency and effectiveness.
- Client and Vendor Interaction: Act as a liaison between clients, TPAs, and the Claims team, addressing concerns and ensuring smooth communication.
- Administrative Duties: Approve and manage employee timesheets, and maintain accurate records of performance and productivity.
Qualifications:
- Experience: Proven experience in claims processing, including evaluating, approving, and managing insurance or healthcare claims efficiently and accurately.
- Leadership Skills: A strong track record in a supervisory or leadership role with the ability to manage and develop a team effectively.
- Technical Proficiency: Familiarity with claims management systems.
- Skills: Strong analytical and problem-solving abilities, with keen attention to detail and excellent communication skills.
- Attributes: Professionalism and the ability to handle complex issues with confidence and clarity.
S&S Health is committed to providing a safe and secure workplace for all employees. Please note that all final candidates will undergo a comprehensive background check and drug testing as part of our hiring process.
