Supervisor of Claims Operations

Supervisor of Claims Operations 

Contract to Perm Position

Client Location: Philadelphia, PA - onsite 3x per week (Tues-Thurs)



The Supervisor of Claims Operations supervises daily activities within the Claims/COB unit and ensures accurate and timely processing of all claims and post payment adjustments. Oversees review of claims for benefit determination, other party and subscriber liability. Supervises examiners/analysts in providing prompt and accurate information and courteous service to all internal and external customers.

Responsibilities

• Plans, controls, coordinates daily workflow, maintaining high rate of quality and productivity without excessive overtime


• Supervises examiners/analysts in the accurate and timely processing of medical claims and all related procedures. Supervises processing of necessary adjustments on paid claims. Maintains an effective, on-goi...