Claims Supervisor
Athari
New York, new york
- Liaises between claims staff and stakeholders, including providers, members, and internal Health staff.
- Participates in claims related workgroups designed to address claims issues and improve processes.
- Prepares routine reports for the manager on productivity, error rates, complaint rates, financial recordkeeping, and other activities.
- Identifies system processing issues and assist with the root cause analysis process.
- Develops, implements, and maintains claims operation policies, procedures and workflow.
- Assists with the planning, development, and training of claims operations staff.
- Provides input related to the development and performance of employees to Manager.
- Manages daily inventory queues and assigns resources to ensure inventory is processed timely and accurately.
- Monitors daily inventory and assigned claims queues for production and issue identification.
- Generates claims operations...