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Specialty Operations Claims Supervisor Job
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| Employer Name: InsurCrossing |
SpiderID: 2303274 |
| Location: Seattle, Washington |
Date Posted: 6/21/2008 |
| Wage: |
Category: Insurance |
| Job Code: |
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Job Description:
Supervises claims examiners processing claims for a single product line. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles, reviews and analyzes management reports and takes appropriate action. Performs quality review on disability claims in compliance with audit requirements, service contract requirements, and quality standards. Maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. Maintains a quality assurance program to support the Total Performance Management initiative and the consistent delivery of quality claims service. SUPERVISORY RESPONSIBILITIES: Administers company personnel policies in all areas and follows company staffing standards and training recommendations Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions Provides support, guidance, leadership and motivation to promote maximum performance Qualifications Education & Licensing: Baccalaureate degree from an accredited college or university preferred Licenses as required Professional certifications as applicable to specific line of claims preferred Experience: Six (6) years of claims management experience required Supervisory experience preferred Skills & Knowledge Thorough line-of-business knowledge of appropriate insurance principles and laws, recoveries offsets and deductions, and cost containment principles Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership/management/motivational skills Analytical and interpretive skills Strong organizational skills
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Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: - |
Company Type: Employer |
| Company: InsurCrossing |
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| City: Pasadena |
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| State: California |
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| Zip: |
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Web Site: http://www.insurcrossing.com
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