Job Summary
A company is looking for a Claims Operations Supervisor to oversee the processing of claims and ensure compliance with contractual requirements.
Key Responsibilities:
- Monitor claims payment and review data to identify issues impacting claims processing
- Supervise claims adjudicators and mailroom staff to ensure productivity and quality
- Maintain compliance with corporate standards and participate in internal and external audits
Required Qualifications:
- Bachelor's Degree or equivalent combination of training and experience
- Two or more years of claims experience required
- Two or more years of experience in healthcare or managed care required
- Preferred two or more years of supervisory experience in claims operations
- Pre-employment background check required
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