Claims Supervisor

JOB SUMMARY/PURPOSE

Responsible for the organization and supervision of the Claims Processing Department and mail room for Samaritan Health Plans (SHP). Provides leadership in setting and maintaining standards for the management of the department, ensuring compliance to the operational benchmarks established by department leadership.

EXPERIENCE/EDUCATION/QUALIFICATIONS

• High School Diploma or equivalent required.
• Four (4) years experience in a claims related role requiring claims adjudication, benefits analysis, coordination of benefits and/or third-party payer liability required.
• Two (2) years leadership experience required.

KNOWLEDGE/SKILLS/ABILITIES

• Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures.
• Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.
• Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.
• Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.

PHYSICAL DEMANDS

• Rarely (1 - 10% of the time)
• Occasionally (11 - 33% of the time)
• Frequently (34 - 66% of the time)
• Continually (67 – 100% of the time)