- Provides support and guidance to claims management staff and other direct reports.
- Processes or facilitates and oversees processing of assigned insurance claims.
- Handles special claims, which may include workers compensation, Medicare, Title 19, and company claims.
- Prepares medical/legal reports and corresponds with attorneys, insurers, and other stakeholders as needed.
- Reviews insurance claims for errors before sending them to responsible parties.
- Drafts narrative reports to be shared with the applicable service providers.
- Oversees the preparation of disability and return-to-work documents.
- Performs other related duties as assigned.
Requirements
To be considered for this role you need to meet the following requirements:
- Bachelor’s degree in any related field.
- Prior experience as an Insurance Supervisor in any healthcare-related facility.
- Five years of related experience required.
- Excellent managerial and supervisory skills.
- Excellent verbal and written communication skills.
- Understanding of medical terminology.
- Proficient in Microsoft Office Suite or similar software.