Health and Welfare Claims Supervisor

Post Date

Nov 17, 2023

Location

Henrico,
Virginia

ZIP/Postal Code

23229
US
Jul 06, 2024 Insight Global

Job Type

Perm

Category

Claims/Denials

Req #

DGO-665561

Pay Rate

$62k - $93k (estimate)

Job Description

We are seeking a highly motivated and experienced Health and Welfare Claims Supervisor to join our team. The successful candidate will be responsible for supervising Claims Adjusters, maintaining a workflow that ensures prompt and efficient handling of claims within deadline, assisting with problem claims and staff questions, training staff, conducting annual performance reviews, and handling personnel issues.



Responsibilities:

Oversee the processing and management of health and welfare claims.

Ensure compliance with all relevant regulations and policies.

Develop and implement strategies to improve claims processing efficiency and accuracy.

Train and mentor claims processing staff.

Collaborate with other departments to ensure seamless claims processing and management.

Provide regular reports to senior management on claims processing performance.

Required Skills & Experience

Bachelor's degree

Minimum of 5 years of experience in healthcare claims processing and management

CEBS certification

Knowledge of medical terminology, medical coding (CPT/HCPCS and ICD10), Federal and State compliance regulations, and individual Health Plan compliance requirements

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.