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Supervisor - Claims Production
@Cambia Health Solutions
[Hiring] Supervisor - Claims Production @Cambia Health Solutions
Mar 24, 2025 - Cambia Health Solutions is hiring a remote Supervisor - Claims Production. 💸 Salary: $61,000 - $82,800 per year, plus 10% bonus. 📍Location: USA.
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Role Description
This role supports members, providers and various internal departments by mentoring staff, monitoring workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State, Federal and company guidelines.
- Lead a team of claims professionals, setting priorities, overseeing work outputs and timelines, and developing productivity, quality, and service standards to ensure exceptional performance.
- Possess strong analytical skills, identifying problems, trends, and developing solutions to implement a course of action, while also communicating effectively with all levels of the organization, both verbally and in writing.
- Have a deep understanding of the insurance industry, related regulations, and mandates, as well as experience working in a high-volume claims processing center, with a proven track record of managing performance and creating an environment for service excellence.
- Organize, plan, and prioritize assignments within multiple projects, participating in and managing well-defined projects with minimal guidance, leveraging knowledge of medical terminology and/or claims coding to inform decision-making.
- Develop and train your team, including employees in multiple locations or working remotely, fostering a culture of collaboration, innovation, and customer-centricity to drive results and achieve business objectives.
Qualifications
- Bachelor’s degree (Preferred)
- 3 years of experience related to claims processing, preferred in the healthcare industry
- Demonstrated leadership/supervisory experience, or the equivalent combination of education and experience.
Requirements
- Lead and manage a team of claims professionals, assigning and prioritizing work, setting goals, and coordinating daily activities, while providing regular updates and communication through 1:1 and team meetings.
- Monitor individual and team results, ensuring work is completed in a timely manner, in accordance with department standards and procedures, and in compliance with medical policy and guidelines, and identify areas for process improvements.
- Act as a resource for staff and others, escalating issues and partnering with other departments to resolve them, and participate in the selection process, provide ongoing coaching and performance management, and write performance reviews.
- Facilitate the maintenance of reference manuals, work procedures, and procedural guidelines, and complete special projects as assigned, including leading division projects, implementing process improvement projects, and analyzing data to present to departmental leadership.
- Oversee claims processing, ensuring accuracy and timeliness according to company timelines, and provide support services, including scheduling, reporting to management, meeting facilitation, and issue resolution, while participating on project teams to recommend solutions and translate business requirements.
Benefits
- Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
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| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
Customer Service
Customer Service
|
Salary
💸
$61,000 - $82,800 per year, plus 10% bonus
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Mar 24, 2025
|
️
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
