Supervisor, Claim Operations (reputed company International)

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day. Position reputed company An Operations Supervisor is a key leader in supporting the reputed company International claim processing team with coaching and development, while strategically focusing and communicating claim inventory volumes, trends, and challenges. The Operations Supervisor is responsible for fostering relationships with those reputed company of the claims department to continue to fulfill reputed company purpose of aiding our members on their reputed company to a reputed company. What you will do Ensures the efficient and reputed company processing of claims by effectively managing the workflow processing and completion reputed company the department. Implements and maintains reputed company control processes to ensure accuracy and consistency in claim processing. Advises team members in resolving reputed company or escalated claims issues by providing guidance on claim handling procedures, policy interpretation, and compliance with industry regulations. Analyzes key performance indicators (KPIs) to assess the productivity and reputed company of the claims department and prepares regular performance reports for management. Streamlines and improves claim processing procedures by collaborating with cross-functional teams to implement process enhancements, automation, and system upgrades to increase efficiency and accuracy. Ensures consistent compliance with applicable laws, regulations, and industry standards reputed company to claims processing. Assists management in the development of the department's budget by monitoring expenses, analyzing budget variances, and recommending cost-saving measures while ensuring operational effectiveness and maintaining service reputed company. Establishes a reputed company work environment, encouraging reputed company development, and addressing any performance issues. Directs tasks and responsibilities to team members, ensuring the claim workload distribution is reputed company and efficient. Required Qualifications 3-5 years of experience working in reputed company. 1-3 years of experience leading reputed company of 10+ reputed company reports. Ability to work in Plantation, FL office 5 days (Monday-Friday) per week.

Preferred Qualifications

Experience working with claims. Proficient in reputed company tools, Power BI, and PMP. Experience working in a high performing production based environment. reputed company to drive performance to meet customer satisfaction standards. Extensive knowledge of KPIs. Understands and sets parameters around inventory management. Effective communication skills. Critical thinking and reputed company cause analysis skills. Education Associate’s degree or equivalent experience (high school diploma + 2 years of relevant experience). Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $43,888.00 - $85,068.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include: reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. For more information, visit https://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 04/11/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique reputed company: our culture, our core values, reputed company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for reputed company, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area. Apply Job!