Zenith American Solutions
Supervisor, Claims
San Francisco, CA
Sponsorship not specifiedDetected 30 days ago
Performance ManagementHIPAAICD-10LeadershipCommunicationOrganizational SkillsMicrosoft Office
About the role
- "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."
- Provides daily leadership and supervision to staff consistent with Company values and mission.
- Troubleshoots customer/client service issues and assists in the successful implementation of new clients.
Responsibilities
- Based on location needs, may provide advanced technical review and support of claims processing.
- Develops staff through performance management, goal setting, training, and effective employee relations.
- Maintains current knowledge of assigned Plan(s) and effectively applies knowledge; p rovides oversight of processing activities to ensure compliance.
- Optimizes workflows/processes, tools, and staff allocation to ensure efficient and cost-effective day to day operations.
- Develops and distributes resource documents as needed.
- Compiles documents, records, and data for external audits, as requested.
Requirements
- Ability to communicate clearly and professionally, both verbally and in writing.
- ability to exercise independent, sound judgment.
- Computer proficiency including Microsoft Office tools and applications.
Nice to have
- Experience working in a multi-employer or Taft-Hartley environment.
- Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job.
- Duties, responsibilities and activities may change at any time with or without notice.
- Working Conditions/Physical Effort
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
- If reasonable accommodation is needed, please contact the Recruiting Department at recruiting@zenith-american.com, and we would be happy to assist you.
- Zenith American Solutions
Compensation
- $80,000/annually
- As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!
Benefits
- Reviews and interprets new benefits plans or changes/updates to existing plans; tests benefits for validation and accuracy.
- Provide technical review of all types of claims including large dollar and complex claims to validate benefit allowance and category.
- Investigate, evaluate, and report on advanced cases for third-party recovery including stop-loss, accident, medical malpractice, subrogation, and Worker's Compensation.
Company info
- The Supervisor, Claims provides daily leadership and supervision to a Claims team in accordance with Company guidelines, client needs, and regulatory requirements.
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This listing is sourced directly from Zenith American Solutions's careers page and normalized into a canonical job model.