Job Summary
A company is looking for a Supervisor, Claims Resolution Commercial.
Key Responsibilities
- Supervise and manage a team of claims reviewers to ensure accurate and timely healthcare claims processing
- Oversee claims review and analysis to ensure compliance with healthcare regulations and organizational policies
- Resolve escalated or complex claims issues, ensuring appropriate adjudication and dispute resolution
Required Qualifications
- Bachelor's Degree in Healthcare Administration or a related field required
- 3-5 years of experience in healthcare claims review or processing
- 1-2 years of experience in a senior or leadership role
- Experience may be accepted in lieu of a degree
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