Claims Supervisor

🔥 1 minute ago

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Wellabe

201 - 500 employees

Founded 1929

⚕️ Healthcare Insurance

👥 B2C

Healthcare Insurance • B2C

Wellabe is a consumer-focused insurance company that offers a range of supplemental and specialty insurance products primarily for older adults and retirees. Its product suite includes Medicare Supplement plans, preneed funeral insurance, dental, vision and hearing partnerships, hospital indemnity, critical illness and cancer diagnosis coverage, and short-term care plans. The company provides online tools, a customer portal and mobile app, educational resources and partner offers, and is headquartered in Des Moines, IA.

📋 Description

• Responsible for coordinating the day to day activities of a team of claims employees • Monitors team member’s workload, provides training, and monitors individual claim activities • Provides technical/jurisdictional direction to reports on claims adjudication • Ensures team members have the needed training and are in compliance with regulatory and company standards • Responsible for the direction of the claims team to ensure consistent delivery of services that meet or exceed customer expectations and complies with regulatory and company standards • Provides technical guidance to team members • Resolves complaints, problems, and coverage questions • Participates in management related duties including performance management, recruitment and selection of new hires • Provides ongoing training and coaching to team members • Ensures all receive communication of corporate/department policies and procedures • Complies, reviews and analyzes management reports and takes appropriate action • Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards • Ensures claim files are coded correctly and adequate documentation is made

🎯 Requirements

• Excellent interpersonal skills • Ability to communicate technical and complex topics in a way that is understandable to those less experienced • Strong aptitude for understanding technical solutions and learning/utilizing tools • Intermediate knowledge of MS Office Suite (Excel, Word and PowerPoint) • Strong attention to detail and organization • Five years of claims handling experience • Bachelor’s degree in related discipline • A combination of education and experience may be accepted in lieu of a degree • Professional certifications as applicable

🏖️ Benefits

• Hybrid availability • 401(k) with company match • Health insurance • Paid time off, holidays • Volunteer time off • Lifestyle Spending Account (LSA) • Paternity leave • Growth opportunities

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