What are the responsibilities and job description for the Claims Supervisor 20250219 position at TDB Communications, Inc.?
Claims Functional Leader / Supervisor
For over 21 years, TDB Communications, Inc. has placed over 2000 employees in various positions across the United States. We are looking for enthusiastic, experienced Claims Functional Leader / Supervisor to continue to make a positive impact on our customers.
To prepare you for this endeavor, TDB will offer paid, comprehensive training that will provide you the tools and resources to assist our caller(s) with the highest level of service, support, and professionalism.
Location : 1111 19th St, NW, 10th Floor, Washington, DC 20036
Salary : $100K - $120K, depending on experience
Benefits : Medical, Dental, Vision, and 401k benefits available
Hours : Hours of Operation : 7 : 45 AM –5 : 00 PM, Eastern Time, Monday - Friday. Candidate must be able to work any assigned 8-hour shift between these hours
Start Date : 4 / 1 / 25
Job Description
- Assists in carrying out the duties of the Provider / Claims Operations Manager and serves in place of manager’s absence for medical claims-related work
- Supervises functions for medical claims control and entry, suspense / resolution, medical claim adjustments, and claims appeal support
- Monitors workflow and departmental productivity
- Runs reports and performs quality control functions
- Oversee a team of medical claims adjusters, providing guidance and support
- Ensure the timely processing of medical claims
- Serve as the Subject Matter Expert during both ramp-up and steady-state phases
- Train, track and remain knowledgeable of project changes
- Train staff on a as needed basis to remain updated on project and process changes
- Resolve customer complaints in a timely and professional manner
- Analyze performance to identify opportunities and trends
- Ensure medical claims are processed according to client, company, and project standards
- Maintain open communication with internal and external leadership
- Coach, motivate and develop employees to improved performance
- Adhere to policies, processes, and procedures
- Conduct staff meetings and huddles as established by the project
- Identify and report potentially fraudulent activity
- Conduct quality monitors and provide timely feedback
- Ensure and maintain proficiency with each of the project tools and systems
- Maintain detailed documentation of all, client, customer, and employee interaction
- Collaborate with other departments to ensure a seamless experience
Pre-requisites :
About TDB
TDB Communications, Inc. is an 8(a) minority owned, service-disabled veteran-owned small business (SDVOSB). We support government agencies with a scalable workforce, program management, and information processing solutions.
Since 1999, we have deployed thousands of employees for 70 agencies in 30 states. We’ve have proven our ability to serve the government with the highest levels of quality and productivity.
Reasonable Accommodation
If you require alternative methods of application or screening, you must approach the employer directly to request this. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed 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. Other duties may be assigned.
EEO Statement
TDB Communications, Inc. is an Equal Opportunity Employer. All employment decisions at TDB are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and / or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.
Texting Notice
We communicate with applicants by text in additional to email and phone. If you apply for this position, we may text you about this position, your application for the position or other things relevant to this job position. If we text you and you no longer want us to text you, you can opt out at that time.
Salary : $100,000 - $120,000
