Supervisor, Claims- Subrogation/Workers Compensation
MagnaCare, Las Vegas, NV, United States
About the Role
The Claims Supervisor is responsible for supervising the staff of Claim Examiners and Claim Team Leads. The expectations include providing coaching, mentoring, and training while promoting quality and superior customer service. The Claims Supervisor is accountable for identifying opportunities for enhancements and changes to workflows to increase effectiveness and productivity of the team. Provides ongoing feedback to the team and identifies areas for improvement and growth. Must be able to make independent decisions, prioritize workload effectively and collaborate with other internal departments to assist in meeting corporate goals.
Primary Responsibilities
Effectively supervise 7‑12 direct reports—consisting of claim examiners and claim team leaders
Provide full‑time technical support to team, internal departments, vendors, and customers
Distribute daily work to the team and monitor aging inventory resolution
Train new hires, vendors, and existing staff as needed
Research and respond to escalated issues and pertinent information on claims requiring adjudication
Review and process high‑dollar claims and conduct quality reviews of claims and logic changes/updates
Assist customer service in resolving customer questions and concerns
Research and resolve client inquiries and perform client‑requested claim adjustments
Coach, counsel, and mentor employees to meet quality, claims accuracy, and productivity standards and address performance and disciplinary issues
Manage payroll, timesheets, employee schedules, and time off requests
Support internal audits and request recoupments, as necessary
Essential Qualifications
3+ years of experience in a supervisory or leadership role
Advanced knowledge of Excel
Strong knowledge of contracts, medical terminology, and claims processing, procedures, and subrogation/workers' compensation
5+ years of advanced claims adjudication experience, including facility, professional, and ancillary claims
Excellent written and oral communication, interpersonal, and negotiation skills with the ability to prioritize tasks
Problem‑solving and organizational skills, ability to prioritize and multitask effectively
Ability to establish and maintain positive work relationships with clients, coworkers, members, providers, and customers
Enthusiastic attitude, cooperative team player, adaptable to new or changing circumstances
Bachelor's degree or comparable experience in the healthcare field preferred
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The Claims Supervisor is responsible for supervising the staff of Claim Examiners and Claim Team Leads. The expectations include providing coaching, mentoring, and training while promoting quality and superior customer service. The Claims Supervisor is accountable for identifying opportunities for enhancements and changes to workflows to increase effectiveness and productivity of the team. Provides ongoing feedback to the team and identifies areas for improvement and growth. Must be able to make independent decisions, prioritize workload effectively and collaborate with other internal departments to assist in meeting corporate goals.
Primary Responsibilities
Effectively supervise 7‑12 direct reports—consisting of claim examiners and claim team leaders
Provide full‑time technical support to team, internal departments, vendors, and customers
Distribute daily work to the team and monitor aging inventory resolution
Train new hires, vendors, and existing staff as needed
Research and respond to escalated issues and pertinent information on claims requiring adjudication
Review and process high‑dollar claims and conduct quality reviews of claims and logic changes/updates
Assist customer service in resolving customer questions and concerns
Research and resolve client inquiries and perform client‑requested claim adjustments
Coach, counsel, and mentor employees to meet quality, claims accuracy, and productivity standards and address performance and disciplinary issues
Manage payroll, timesheets, employee schedules, and time off requests
Support internal audits and request recoupments, as necessary
Essential Qualifications
3+ years of experience in a supervisory or leadership role
Advanced knowledge of Excel
Strong knowledge of contracts, medical terminology, and claims processing, procedures, and subrogation/workers' compensation
5+ years of advanced claims adjudication experience, including facility, professional, and ancillary claims
Excellent written and oral communication, interpersonal, and negotiation skills with the ability to prioritize tasks
Problem‑solving and organizational skills, ability to prioritize and multitask effectively
Ability to establish and maintain positive work relationships with clients, coworkers, members, providers, and customers
Enthusiastic attitude, cooperative team player, adaptable to new or changing circumstances
Bachelor's degree or comparable experience in the healthcare field preferred
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