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Supervisor, Claims
Health Care Service Corporation. Supervise and manage the day-to-day operations of a team of Claim Analysts .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong leadership and organizational skills to manage a team of Claim Analysts while ensuring quality and production goals are met. Proficient in claim processing and client management, with the ability to adapt to various systems and improve processes.
Highest-signal resume keywords
Claim Processing ExperienceLeadership SkillsClient ManagementMS Excel/Word ProficiencySelf-Funded Insurance/Benefits Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim ProcessingDocument AnalysisProblem ResolutionProcess ImprovementSummary Plan Descriptions (SPDs) Interpretation
Soft Skills
Verbal CommunicationWritten CommunicationInterpersonal SkillsOrganizational SkillsSelf-Directed Work Ethic
Certifications & Qualifications
High School DiplomaGED Equivalent
Industry Keywords
Self-Funded InsuranceThird Party Administrator (TPA)Client RetentionTeam SupervisionOperational Management
About the role
Key responsibilities & impact- Supervise and manage the day-to-day operations of a team of Claim Analysts
- Enable the team to meet client and corporate commitments
- Achieve team quality, production and service expectations
- Develop staff
- Support successful implementation of new clients into the Unit
- Retain existing clients
- Answer complex or difficult claim questions
- Work collaboratively with the department manager to ensure department goals are met
Requirements
What you’ll need- High School Diploma or GED equivalent
- 3–5 years claim processing experience
- Self-directed individual who works well with minimal supervision
- Excellent verbal and written communication skills
- Strong leadership, organizational and interpersonal skills
- Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
- Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
- Ability to effectively deal with problems in varying situations and reach resolution
- Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)
- Flexible; open to continued process improvement
- Ability to learn new/proprietary systems, adapt to various system platforms, and effectively use MS Excel/Word
- Bachelor’s degree preferred
- Previous supervisory or management experience preferred
- Self-Funded Insurance/Benefits and/or TPA experience preferred
Benefits
Comp & perks- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- Paid time off
- Paid parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- Paid holidays
- Tuition reimbursement
- Other incentives
- Annual incentive bonus plan subject to the terms and conditions of the plan
- Employee referral process
- Remote work arrangement