CareFirst– Supervisor Blue Car Claims

 

Job Title: Supervisor I- Blue Card Claims

Location: UCP/DC

Career Band:   A

Job ID #: 8937

Please Note:  This position may be filled as a Supervisor I or II, depending on candidate’s experience and business needs.

SUMMARY: Creates and promotes a team environment for Claims Processors that supports and facilitates the delivery of superior customer service to both internal and external clients.  This position contributes to the goals and objectives of the business unit through planning and representing the team’s needs and interests to other departments.

ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited to, the following: Under the general direction of the Manager of Claims Processing

Coaches, counsels and motivates associates (concentrating on associate development) to increase quality and production while helping to achieve positive results.  Reviews daily audit results and adjustments to ensure quality and accurate claims payment.  Provides input and makes recommendations on hiring decisions and completes performance appraisals.

Maintains current policies and operating procedures/conditions (including workflow management, performance management, forecasting, account reconciliation, inventory management and maintaining communications with other areas within the organization).

Develops logical and accurate reports to management regarding inventories, inquiries, correspondence, cases and other pertinent information in order to provide necessary information for management of workflow.  Provides assistance with product marketing and sales efforts of respective business units in order to increase market share.

Other projects and duties as assigned to assist in company, divisional, and/or departmental goals.

QUALIFICATION REQUIREMENTS:

EXPERIENCE:
This position requires 0-3 years of supervisory experience.  Incumbent must have proficiency in the service, claims or enrollment & billing area. In lieu of supervisory experience in the health insurance industry or related field, position requires extensive experience (2 – 4+ years) with CareFirst systems.

SKILLS/ ABILITIES:
Must also have strong analytical and problem resolution skills, strong communication skills, interpersonal/leadership skills, and be able to motivate.  3+ years PC skills or related technical skills also required.

PREFERRED:
Knowledge of the health insurance industry. CareFirst system specific experience. BlueCard Home processing knowledge and experience. Bachelor’s Degree in Business Administration or similar field. Project management experience

PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an associate to perform the essential duties and responsibilities of the position successfully.  Requirements may be modified to accommodate individuals with disabilities.

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights of up to 25 pounds are occasionally lifted.

Department: SM SBU Blue Card Claims Unit

 

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Must be eligible to work in the U.S. without Sponsorship

Please visit our website to apply: www.carefirst.com/careers

Please apply before: August 28, 2016

Actual salary will be based on relevant job experience and work history.

 

 

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