Offer summary

Qualifications:

Proven experience in claims processing, particularly in insurance or healthcare claims., Strong leadership skills with a track record in supervisory roles., Technical proficiency with claims management systems is required., Excellent analytical, problem-solving, and communication skills..

Key responsabilities:

Supervise and support a team of Claims Examiners, delegating tasks and monitoring performance.

Manage daily inventory reports and oversee workload distribution for efficiency.

Identify and implement process improvements to enhance workflow effectiveness.

Act as a liaison between clients, TPAs, and the Claims team to ensure smooth communication.

Job description

S&S Health is a leading healthcare administration company based in Cincinnati, Ohio, specializing in self, level, and fully funded solutions aimed at lowering costs and improving outcomes while providing a consumer-centric experience. With a nationwide presence, S&S Health delivers comprehensive benefits, services, and technology platforms tailored to meet the unique needs of employers, third-party administrators (TPAs), and health systems.

The Claims Supervisor is responsible for overseeing and guiding the daily operations of our Claims team. This role involves managing a team of Claims Examiners, focusing on team development, KPI management, and process improvement initiatives to ensure efficient and accurate claims processing.

Key Responsibilities:

Team Management: Supervise and support a team of Claims Examiners, including delegating tasks, monitoring performance, and providing guidance on complex claims issues.
Operational Oversight: Manage daily inventory reports, assign tickets, and oversee workload distribution to ensure efficiency and quality standards are met.
Process Improvement: Identify opportunities for process enhancements and implement changes to improve workflow efficiency and effectiveness.
Client and Vendor Interaction: Act as a liaison between clients, TPAs, and the Claims team, addressing concerns and ensuring smooth communication.
Administrative Duties: Approve and manage employee timesheets, and maintain accurate records of performance and productivity.

Qualifications:

Experience: Proven experience in claims processing, including evaluating, approving, and managing insurance or healthcare claims efficiently and accurately.
Leadership Skills: A strong track record in a supervisory or leadership role with the ability to manage and develop a team effectively.
Technical Proficiency: Familiarity with claims management systems.
Skills: Strong analytical and problem-solving abilities, with keen attention to detail and excellent communication skills.
Attributes: Professionalism and the ability to handle complex issues with confidence and clarity.

S&S Health is committed to providing a safe and secure workplace for all employees. Please note that all final candidates will undergo a comprehensive background check and drug testing as part of our hiring process.

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