Claims Supervisor Job at Robert Half (Las Vegas)

New

Claims Supervisor

The Claims Supervisor is responsible for direct, day to day oversight of the cla...

Location

United States , San Diego

Salary:

98000.00 - 140000.00 USD / Year

UC San Diego

Expiration Date

Until further notice

Requirements

Seven (7) years of related experience, education/training, OR a Bachelor’s degree in related area plus three (3) years of related experience/training
Strong interpersonal and customer service skills, with the ability to cultivate and maintain constructive working relationships with both internal and external constituencies
Proven analytical, critical-thinking, and problem-solving skills, with the ability to assess complex problems, respond effectively to questions and concerns, and identify and present potential solutions
Strong detail orientation, organizational and project management skills to negotiate, manage, and track complex managed care contracts
Highly proficient with MS Office (Word, Excel, PowerPoint, Outlook),specialized contract databases and managed care systems.

Job Responsibility

Provides hands on guidance, clarification, and training to frontline claim examiners
Supports real time problem solving related to individual claims and processing workflows
Closely monitors claim turnaround times, quality metrics, and productivity
Distributes and prioritizes work to ensure departmental performance standards are met
Ensures claims are processed accurately and timely according to defined procedures
Participates in short and long-range planning for the department
Encourages growth and development among staff and serves as role model in areas of appropriate work ethics and professionalism
Establishes and maintains positive relationships with internal departments and internal/external customers
Assists Claims Manager with development, maintenance, monitoring and review of reporting metrics and tools to meet payor delegation and regulatory requirements
Serves as one of the primary points of contact for IT regarding system and software upgrades, testing and implementation

Fulltime

Claims Supervisor

At Angle Health, we believe the healthcare system should be accessible, transpar...

Location

Salary:

Not provided

Angle Health

Expiration Date

Until further notice

Requirements

Minimum of three to five years of experience in healthcare claims
Prior leadership or supervisory responsibilities
Strong understanding of healthcare claims adjudication, medical terminology, and coding systems (ICD-10, CPT)
Knowledge of and/or hands-on experience working in a startup environment
Excellent leadership, problem-solving, analytical, and communication skills
Proficiency in claims management software
Google Drive and Google Sheets

Job Responsibility

Team Leadership: Lead a team of dedicated professionals with a focus on delivering timely, high-quality claim outcomes
Operations Oversight: Monitor daily claim processing activities to ensure established performance metrics and service-level standards are consistently met
Quality Assurance: Ensure all claim processing complies with internal policies as well as state and federal regulations. Participate in control audits and implement corrective action plans as needed
Documentation: Develop, write, and maintain resource documents to support team accuracy and serve as reliable reference materials
Issue Resolution: Serve as an escalation point for complex or disputed claims, customer concerns, and provider inquiries, ensuring timely and professional resolution
Process Improvement: Analyze claim data to identify trends and opportunities for operational enhancement
collaborate with the Head of Claims to implement prompt and effective solutions
Training & Development: Create individualized training plans and collaborate with the team’s dedicated trainer to support continuous growth and development for each team member

What we offer

Competitive salary and equity compensation
Comprehensive healthcare benefits
Flexible work arrangements (hybrid or remote considered)
Opportunity to work with a mission-driven team transforming healthcare

Fulltime

Claims Supervisor (Bodily Injury)

Our Casualty Claims department is seeking a highly motivated and experienced Cla...

Location

United States , Richardson

Salary:

97735.00 - 151700.00 USD / Year

Geico

Expiration Date

Until further notice

Requirements

Minimum of 2 years of leadership experience in Bodily Injury claims, including direct oversight of litigated cases
Active Adjuster license (required)
Expertise in Casualty claims, including knowledge of industry regulations and best practices
Strong ability to assess needs and guide associates in negotiating claim settlements as needed
Experienced in the use of various claims tools with ability to assist associates
Strong adherence to compliance and regulatory requirements
Proven ability to motivate, inspire, and develop high-performing teams in a customer-centric environment
Strong results orientation, with a history of meeting or exceeding performance goals
Excellent interpersonal and communication skills, with the ability to adapt leadership styles to diverse individuals and situations
Ability to analyze data and metrics to inform decision-making and improve customer outcomes

Job Responsibility

Lead, mentor, and inspire a team of associates to deliver exceptional customer service while building trust
Leverage property and casualty insurance expertise to guide team members in resolving complex customer inquiries and claims
Provide authority on evaluations that exceed your adjusters personal, assigned authority and work with others on claims that exceed your authority
Personalize leadership approach to develop team members’ skills, fostering their growth and ensuring they consistently exceed customer expectations
Monitor and evaluate team performance using key performance indicators (KPIs) to enhance efficiency, customer satisfaction, and retention
Hold team accountable for achieving results, maintaining compliance with insurance regulations, and delivering outstanding service
Address escalated customer concerns with professionalism and empathy, modeling GEICO’s dedication to service excellence
Collaborate with leadership and cross-functional teams to identify and implement process improvements
Serve as a resource for team members on insurance-related questions providing mentorship and training to build their industry knowledge

What we offer

Licensing and continuing education at no cost to you
Leadership development programs and hundreds of eLearning courses to enhance your skills
Corporate wide bonus programs are in place to reward top performers
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family’s overall well-being
Financial benefits including market-competitive compensation
a 401K savings plan vested from day one that offers a 6% match
performance and recognition-based incentives
and tuition assistance
Access to additional benefits like mental healthcare as well as fertility and adoption assistance
Workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year

Fulltime

Claims Supervisor (Bodily Injury)

Our Casualty Claims department is seeking a highly motivated and experienced Cla...

Location

United States , Tampa

Salary:

95000.00 - 145000.00 USD / Year

Geico

Expiration Date

Until further notice

Requirements

Minimum of 2 years of leadership experience in Bodily Injury claims, including direct oversight of litigated cases
Active Adjuster license (required)
Expertise in Casualty claims, including knowledge of industry regulations and best practices
Strong ability to assess needs and guide associates in negotiating claim settlements as needed
Experienced in the use of various claims tools with ability to assist associates
Strong adherence to compliance and regulatory requirements
Proven ability to motivate, inspire, and develop high-performing teams in a customer-centric environment
Strong results orientation, with a history of meeting or exceeding performance goals
Excellent interpersonal and communication skills, with the ability to adapt leadership styles to diverse individuals and situations
Ability to analyze data and metrics to inform decision-making and improve customer outcomes

Job Responsibility

Lead, mentor, and inspire a team of associates to deliver exceptional customer service while building trust
Leverage your property and casualty insurance expertise to guide team members in resolving complex customer inquiries and claims
Provide authority on evaluations that exceed your adjusters personal, assigned authority and work with others on claims that exceed your authority
Personalize your leadership approach to develop team members’ skills, fostering their growth and ensuring they consistently exceed customer expectations
Monitor and evaluate team performance using key performance indicators (KPIs) to enhance efficiency, customer satisfaction, and retention
Hold your team accountable for achieving results, maintaining compliance with insurance regulations, and delivering outstanding service
Address escalated customer concerns with professionalism and empathy, modeling GEICO’s dedication to service excellence
Collaborate with leadership and cross-functional teams to identify and implement process improvement
Serve as a resource for team members on insurance-related questions providing mentorship and training to build their industry knowledge

What we offer

Licensing and continuing education at no cost to you
Leadership development programs and hundreds of eLearning courses to enhance your skills
Corporate wide bonus programs are in place to reward top performers
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family’s overall well-being
Financial benefits including market-competitive compensation
a 401K savings plan vested from day one that offers a 6% match
performance and recognition-based incentives
and tuition assistance
Access to additional benefits like mental healthcare as well as fertility and adoption assistance
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year

Fulltime

Supervisor (Solicitor/CILEX Lawyer) - Property Small Claims

We are looking for a qualified lawyer, who is authorised to conduct litigation, ...

Location

United Kingdom , Birmingham

Salary:

Not provided

DAC Beachcroft

Expiration Date

Until further notice

Requirements

Qualified lawyer authorised to conduct litigation
Previous supervision and/or team management experience advantageous
Sufficient technical ability to supervise the allocated sub-team
High level of personal compliance with DAC Beachcroft Group protocols and procedures
Evidence of achievement of personal financial performance
Evidence of commercial acumen
Evidence of effective people management skills including ability to motivate, coach and mentor
Organised and able to handle multiple demands and deadlines simultaneously
Able to communicate confidently orally and in writing at all levels
Demonstrates alignment with the Firm's Cultural Principles (Clear, Creative, Determined and Supportive)

Job Responsibility

Ensuring files are run pro-actively and effectively to conclusion by relevant lawyers with appropriate deadlines met
Ensuring lawyers work effectively to meet client needs and commercial requirements of the firm
Managing any identified fee earner performance or conduct issues
Ensuring client complaints, emerging risks or compliance issues are identified, addressed and escalated
Direct line management for a team of lawyers
Managing performance issues for individual lawyers
Driving and improving individual lawyers financial performance through effective management and support
Supporting Team Manager with recruitment activities
Responsible for induction of new joiners and ongoing technical development of lawyers

What we offer

High levels of flexibility and great work life balance
Well-rounded remuneration package including private medical insurance, income protection insurance and discounted gym membership
Opportunities for growth and progression including professional funding
In person and remote social events
Opportunity to get involved in Environmental, Social and Governance (ESG) activities
Flex Forward flexible working scheme

Fulltime

New

Branch Support Specialist

Location

United States , Salinas

Salary:

22.00 - 25.00 USD / Hour

Allied Universal®

Expiration Date

Until further notice

Requirements

High School diploma or equivalent
Prior work experience in a professional administrative environment
Able to focus and multi-task in a busy environment
Ability to successfully handle stressful situations in a calm and professional manner
Effective management skills
able to coordinate with multiple employees with diverse personalities and engage them to perform at optimum levels
Highly proficient and fully functional in all Microsoft Office applications and able to effectively utilize all available office management technology
Ability to take initiative, successfully handle and prioritize multiple competing assignments and effectively manage deadlines

Job Responsibility

Maintain employee personnel, medical, and benefit files
maintains branch I-9 files in accordance with company policies and legal policies
Assist Corporate Human Resources with the annual open enrollment process
provide first-line answers to benefit related questions or works with corporate benefits to identify answers for employees
Oversee administration of company uniform program, including sizing, issuance of uniforms, timely return of uniforms, assistance with replacements, and maintaining all paper and electronic files associated with the program
Assist with the workers’ compensation claims management by issuing and obtaining claim paperwork, collecting statements, and coordinating with Corporate Human Resources on doctor’s notes and return to work programs
Receive initial notices from employees and supervisors for leave of absence requests/needs and coordinates with Corporate LOA department to provide initial information and oversee flow of related paperwork
Maintain post-hire WinTeam data entry
coordinatee with Payroll to ensure changes are completed properly
respond to questions as needed

What we offer

Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in our company’s 401(k)plan, subject to eligibility requirements
Eight paid holidays annually, five sick days, and four personal days
Vacation time offered at an accrual rate of 3.08 hours biweekly

Fulltime

New

Branch Support Specialist

Allied Universal® is hiring a Branch Support Specialist. The Branch Support Spec...

Location

United States , Philadelphia

Salary:

20.22 - 21.22 USD / Hour

Allied Universal®

Expiration Date

Until further notice

Requirements

High School diploma or equivalent
Prior work experience in a professional administrative environment
Able to focus and multi-task in a busy environment
Ability to successfully handle stressful situations in a calm and professional manner
Effective management skills
able to coordinate with multiple employees with diverse personalities and engage them to perform at optimum levels
Highly proficient and fully functional in all Microsoft Office applications and able to effectively utilize all available office management technology
Ability to take initiative, successfully handle and prioritize multiple competing assignments and effectively manage deadlines

Job Responsibility

Maintain employee personnel, medical, and benefit files
maintains branch I-9 files in accordance with company policies and legal policies
Assist Corporate Human Resources with the annual open enrollment process
provide first-line answers to benefit related questions or works with corporate benefits to identify answers for employees
Oversee administration of company uniform program, including sizing, issuance of uniforms, timely return of uniforms, assistance with replacements, and maintaining all paper and electronic files associated with the program
Assist with the workers’ compensation claims management by issuing and obtaining claim paperwork, collecting statements, and coordinating with Corporate Human Resources on doctor’s notes and return to work programs
Receive initial notices from employees and supervisors for leave of absence requests/needs and coordinates with Corporate LOA department to provide initial information and oversee flow of related paperwork
Maintain post-hire WinTeam data entry
coordinatee with Payroll to ensure changes are completed properly
respond to questions as needed

What we offer

Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in our company’s 401(k)plan, subject to eligibility requirements
Eight paid holidays annually, five sick days, and four personal days
Vacation time offered at an accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law

Fulltime

New

Bpo Customer Care Associate

Embrace the role of a Customer Care Associate and play a vital role in supportin...

Location

Philippines , Quezon

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Proficiency in Microsoft office programs and general computer operations
Ability to learn and follow basic direction on process
Must have mastery of the English language, both oral and written
Must be detail-oriented and organized to maintain accurate records
Must have the ability to focus and work quickly
Able to work independently
Sense of urgency in reporting any concerns to immediate supervisor
High School diploma or equivalent required
1-2 years' experience working in the medical field preferred

Job Responsibility

Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies
Identifies opportunities and reports on inaccuracies that may be present in reviewed documents
Learns CRM system and is able to access different internal online resources to obtain required information in a timely manner
Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US
Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met
Analyzing medical insurance claims for quality assurance
Resolving moderately routine questions following pre-established guidelines
Performing routine research on customer inquiries
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team

Select Country

Claims Supervisor

Job Description

Job Responsibility

Requirements

What we offer

Looking for more opportunities?

Claims Supervisor

Claims Supervisor

Claims Supervisor

Claims Supervisor (Bodily Injury)

Claims Supervisor (Bodily Injury)

Supervisor (Solicitor/CILEX Lawyer) - Property Small Claims

Branch Support Specialist

Branch Support Specialist

Bpo Customer Care Associate

Our AI answers in your language