Manager, Claims

Job not on LinkedIn

🔥 5 minutes ago

🇺🇸 United States – Remote

💵 $49.5k - $92.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• Supervise and manage a team or multiple teams of Luminare Health Claim Analysts and/or outsourced vendor staff • Ensure achievement of team quality, production and service expectations • Develop staff • Implement new clients into the Unit • Retain existing clients • Answer complex or difficult claim or customer service questions • Advise team members regarding claim processing or customer service procedures • Provide support to ensure department goals are met • Manage multiple Claim Units, complex or visible clients, and/or outsourced vendor relationships as applicable

🎯 Requirements

• High School Diploma or GED equivalent • 3-5 years claim processing experience • Previous supervisory or management experience • Self-directed individual who works well with minimal supervision • Excellent verbal and written communication skills • Strong leadership, organizational and interpersonal skills • Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff • Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form • Ability to effectively deal with problems in varying situations and reach resolution • Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs) • Flexible; open to continued process improvement • Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word • Preferred: Bachelor’s degree • Preferred: Self-Funded Insurance/Benefits and/or TPA experience

🏖️ Benefits

• Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Other incentives • Annual incentive bonus plan subject to the terms and conditions of the plan • Remote work from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii