Claims Supervisor
TEKsystems
Description
The Claims Supervisor is responsible for managing the claims inventory, and resources through timely and accurate processing of higher level claims and to manage the processing of claims adjustments through the correction of processing error and handling overpayments or underpayments.
PRIMARY ACCOUNTABILITIES:
Meet given objectives to cycle time, QA and productivity.
Operate within the unit administrative budget.
Manage unit workflow and inventory.
Manage reporting of daily/monthly – Adhoc of the unit
Update standards and write/update unit procedures on a timely basis.
Administer Plan personnel policies/CBA accurately and equitably.
Complete assignments in a timely manner.
Initiate IT tickets for system issues.
Respond to other departments’ inquiries timely
Train staff as needed.
Other duties as assigned.
Skills
Medical Claims, Healthcare, Claims, claims processing, QNXT
Top Skills Details
Medical Claims,Healthcare,Claims,claims processing,QNXT
Additional Skills & Qualifications
QUALIFICATIONS:
AA degree (or commensurate experience) preferred.
Minimum of 3 years claims experience.
Minimum of 3 years of experience in a supervisory position.
Must have QNXT processing experience
Decision-making and problem-solving skills.
Ability to prioritize, organize tasks and develop the necessary action plans to accomplish specific goals within required deadlines.
Motivational/leadership skills.
Good verbal and written communication skills.
Self-motivated and ability to take initiative.
Experience Level
Expert Level
o Eligibility requirements apply to some
benefits and may depend on your job classification and length of employment.
Benefits are subject to change and may be subject to specific elections, plan,
or program terms. If eligible, the benefits available for this temporary role
may include the following:
§ Medical, dental & vision
§ Critical Illness, Accident, and Hospital
§ 401(k) Retirement Plan – Pre-tax and Roth
post-tax contributions available
§ Life Insurance (Voluntary Life &
AD&D for the employee and dependents)
§ Short and long-term disability
§ Health Spending Account (HSA)
§ Transportation benefits
§ Employee Assistance Program
§ Time Off/Leave (PTO, Vacation or Sick Leave)
Pay and Benefits
The pay range for this position is $70000.00 - $85000.00
APWU has outstanding benefits, very close to government employees.
APWU (American Postal Workers Union) offers a range of internal benefits123:
APWU Health Plan: Two health care options for postal and federal employees and their families.Mortgage Program: Home-buying options through the Union Plus Mortgage program.Scholarship Programs: APWU Scholarship Brochure available
Workplace Type
This is a hybrid position in Glen Burnie,MD.
Application Deadline
This position will be accepting applications until Feb 5, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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