Supervisor Medical Claims

Supervisor Medical Claims – Moda Health

Overview

Provides supervision, coaching and support to Claims Processors. Organizes staff, sets goals, establishes procedures, and continues to ensure claims are processed promptly and accurately. Measures and evaluates performance and results. Coaches and trains as required to achieve goals of quality and efficiency. This is a full-time work-from-home role.

Responsibilities

• Supervises staff giving daily work direction, vacation scheduling, monitoring attendance, conducting performance reviews, and hiring and training new employees.
• Facilitates problem solving for employees and Manager by answering claims related questions dealing with contract interpretation of benefits, procedures and claims systems.
• Controls workflow and quality by checking date and amount of work in processors queues, assigns work to ensure time service goals, tracks processors production and quality.
• Assists with planning by analyzing amount of work and type of work, assigns and sets priorities and decides on retraining needs.
• Motivates and coaches the processors by reviewing results with them, conveys what is expected, asks for suggestions, and fulfills training needs.
• Use and manipulate Excel files.
• Other duties as assigned.

Qualifications

Benefits

Pay

Pay Range : $58,747.10 - $73,433.88 annually, DOE. This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Working Conditions & Contact With Others

Equal Opportunity

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.

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