Supervisor Claims

Company : Highmark Inc. Job Description : JOB SUMMARY This job supervises and coordinates the day to day activities of the various claims processing or claims adjustment units responding to internal inquiries or inquiries received by members, providers, or account representatives across all markets. ESSENTIAL RESPONSIBILITIES Communicate effectively. Effectively supervise all assigned personnel. Coordinate any claim backlog distribution for regular and overtime work both interdepartmentally and companywide. Monitor and manage daily inventories to ensure adequate staffing and resources are available. Subject matter expert for benefit plan and claims processing issues, implementation of new groups and products, and transition meetings. Research quality issues and respond to error assessments. Ensure all business processes are routinely monitored. Recommend and design, if necessary, process improvements designed to improve accuracy, timeliness of process and/or eliminate manual effort. Other duties as assigned or requested. This positions supervises employees mostly in the State of New York: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, and Wyoming counites. Required High School Diploma or GED 2 years experience in a claims environment 1 year experience leading or supervising others Preferred Bachelor’s degree SKILLS Knowledge of multiple processing systems and workflows Knowledge of claims processing methodologies Ability to interpret all government regula