At CVS Health, we are dedicated to providing the highest quality of care and service to our customers. As a Supervisor of Claims Operations, you will play a crucial role in ensuring the accurate and timely processing of claims. We are seeking a highly organized and detail-oriented individual with strong leadership skills to join our team. With your expertise and guidance, our claims operation team will continue to excel and exceed expectations. If you are passionate about helping others and have a strong background in claims operations, we want to hear from you.
- Oversee and manage the day-to-day operations of the claims department.
- Ensure timely and accurate processing of claims in accordance with company standards and policies.
- Develop and implement efficient and effective processes for claims processing.
- Monitor and analyze claims data to identify areas for improvement and implement solutions.
- Train and mentor team members to ensure a high level of productivity and accuracy.
- Maintain a thorough understanding of state and federal regulations related to claims processing.
- Collaborate with other departments to resolve complex claims issues and improve overall performance.
- Conduct regular performance evaluations and provide feedback and coaching to team members.
- Handle escalated customer inquiries and complaints related to claims.
- Stay up-to-date on industry trends and developments, and make recommendations for continuous improvement.
- Prepare and present reports on claims performance to senior management.
- Maintain accurate records and documentation for all claims-related activities.
- Ensure compliance with company policies, procedures, and ethical standards.
- Work with cross-functional teams to implement new processes and systems to improve efficiency and accuracy.
- Foster a positive and collaborative work environment to promote teamwork and employee engagement.
Bachelor's Degree In Business Administration, Healthcare Administration, Or A Related Field
Minimum Of 3 Years Of Experience In Claims Processing And Management In A Healthcare Or Insurance Environment
Strong Leadership And Managerial Skills, With A Proven Track Record Of Effectively Supervising A Team
In-Depth Knowledge Of Claims Regulations And Guidelines, Including Hipaa And Medicare/Medicaid Policies
Excellent Analytical, Problem-Solving, And Communication Skills, With The Ability To Handle And Resolve Complex Claims Issues Efficiently And Accurately.
Process Improvement
Communication Skills
Time Management
Team Management
Conflict Resolution
Problem-Solving
Decision-Making
Resource allocation
Performance evaluation
Prioritization
Coaching/Mentoring
Communication
Conflict Resolution
Customer Service
Emotional Intelligence
Leadership
Time management
creativity
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Supervisor, Claims Operation is between $55,000 and $85,000 per year. However, this can vary depending on the specific company, location, and level of experience of the individual. Some supervisors may earn more than $100,000 per year, while others may earn less than $50,000. It is important to research the specific job and company to get a more accurate salary estimate.
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CVS Health Corp. engages in the provision of health care services. It operates trough the following segments: Pharmacy Services, Retail or Long Term Care, and Corporate. The Pharmacy Services segment offers pharmacy benefit management solutions. The Retail or Long Term Care segment includes selling of prescription drugs and assortment of general merchandise. The Corporate segment involves in providing management and administrative services.

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