Group Health CSR Supervisor

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Dane Street

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

📋 Compliance

🏛️ Government

Healthcare Insurance • Compliance • Government

Dane Street is a national leader in Independent Medical Exams and Reviews, providing objective, compliant, and timely Independent Medical Examinations, Peer Reviews, and other medical reports. With a large network of over 16,000 physicians, the company offers its services across 25,000 locations and 100 specialties, including Workers' Compensation, Auto, Liability, and Disability claims. Dane Street supports Insurance Carriers, Third Party Administrators, Managed Care Organizations, and Federal/State entities with expert medical analyses, helping them make accurate determinations. The company is recognized for its quality, fast turnaround times, and efficient processes, earning accolades like the NCQA Accreditation in Utilization Management and the Great Place to Work certification.

📋 Description

• The CSR Supervisor is responsible for managing the various aspects of the medical file review process, specifically the intake, turn-around time and the supervision of the Customer Service Representative team. • Oversight of File Review to ensure that cases are properly notated and are processed timely. • Provide guidance on cases where there are questions on assignment and process handling. • Conduct monthly audits on staff to ensure that goals are met and coaching/training is provided when required. • Provide guidance and resolution to issues brought to the attention of the supervisor. • Train new team members on case workflow, processes and client specific requirements. • Conduct one on one meetings with staff for progress meetings and to provide feedback. • Participate in writing initial and annual reviews of staff members. May provide input into the hiring & firing process. • Provides updates to clients frequently on cases in progress. • Responds to clients when there are questions on referral information to ensure proper documentation and information is provided to the assigned reviewer. • Ensure proper documentation for complex cases is provided to the client. • Provide exceptional customer service to clients. ********

🎯 Requirements

• An Associate’s Degree or Bachelor’s Degree is preferred. • Experience supervisor or managing teams is critical. • Business experience in a healthcare and/or insurance setting is preferred. • Present exceptional communication skills with a clear understanding of company business lines. • The ability to apply critical thinking, manage time efficiently and meet specific deadlines. • Computer literacy and typing skills are essential.