Supervisor Claims Resolution

DESCRIPTION

The Claims Resolution Supervisor supervises Claims Resolution Analysts and Claims Resolution Specialists and is responsible for timely and financially compliant validation of incomplete and escalated claims.

This person will analyze incomplete and escalated claims to increase Ready to Clear rate by determining the root cause and taking action to resolve it.

The incumbent will ensure that Claims Resolution Analysts and Specialists are trained and proficient in their assigned work using analytical tools, quality reviews, client feedback, and management guidance.

The Claims Resolution Supervisor also ensures that their associates are compliant with client, department, and company policy.

RESPONSIBILITIES

• Supervises Claims Resolution Analysts and Specialists to include evaluating associates, assisting in hiring, addressing individual performance issues, workload balancing, and salary recommendations
• Consistently demonstrates a high level of proficiency in processing claims, Acosta, client and customer systems, and client, customer and company policies and procedures.
• Monitors attendance to ensure full coverage
• Maintains accurate attendance and payroll records
• Ensures that associate quality scores, ready to clear rate and productivity meet or exceed expectations
• Communicates daily with other supervisors and the hub manager to ensure associates are handled consistently across the hub
• Ensures adherence to company and department policy, client service level agreements and financial requirements for assigned team
• Serves as the Acosta resource for assigned clients and customers needing information and / or assistance with claims
• Uses the required work management process to prevent backlog
• Resolves validation and clearing issues by communicating with associates, sales, clients, customers and the management team, and provides recommendations to prevent them in the future
• Escalates recurring claims processing errors to the Hub Manager for assistance
• Escalates associate issues to the hub manager for assistance
• Serves as mentor / resource for internal and external associates to improve accuracy and timeliness of claims processes
• Works with management to improve claims and repayment processes
• Uses reporting tools and one-on-one sessions to monitor team performance / task completion on a daily, sometimes hourly basis and ensures all claims functions are current and are being performed accurately and efficiently
• Performs daily maintenance of the claims processing system to ensure that all claims are entered, accurate, assigned correctly, matching client records
• Maintains excellent working relationships with customers, clients, sales, management team
• Meeting the physical requirements listed below
• Other duties as assigned

QUALIFICATIONS

Work and Experience Requirements

Bachelors degree or equivalent experience

2 years of supervisory experience

Background in business process solutions and / or brokerage field preferred

Knowledge, Skills, and Abilities Required

Accepts accountability for job performance; proactively informs others if problems limit the ability to meet expectations

Accepts change as a normal part of doing business, maintains a positive attitude and exhibiting constructive work behaviors during periods of transition

Meets work and attendance expectation; informs others in advance when commitments cannot be fulfilled

Actively supports organizational goals and values; aligns actions around organizational goals; gives priority to organizational needs and concerns when making decisions

Makes sound decisions based on the limited information available at the time, achieving forward progress even under ambiguous circumstances

Takes a reasoned logical approach in making judgments and decisions, carefully reviews available facts and information before reaching any conclusions

Sets high standards for personal and group accomplishment; creates measures to monitor progress toward goals; aggressively works to meet or exceed expectations

Demonstrates an authentic interpersonal style that engages others and encourages high performance; uses coaching and mentoring skills to develop and support employee growth

Physical Requirements :

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ABOUT US

Acosta and Mosaic are the sales and marketing powerhouses behind the most recognized and proven brands with top retailers in the United States and Canada.

We offer flexible services that maximize efficiency. Acosta has the talent and technology to build data-, reach- and relationship-driven strategies to execute those strategies, and the tools to monitor, track and optimize metrics-based results for customers and retailers.

Acosta and its subsidiaries, in good faith, believes that this posted range of compensation is the accurate range for this role at the time of this posting.

Acosta may ultimately pay more or less than the posted range depending on candidate qualifications and locations. This range may be modified in the future.

Acosta and its subsidiaries is an Equal Opportunity Employer

We are committed to providing accommodations for persons with disabilities. If you require accommodation, we will work with you to meet your needs, to the extent required by law.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification.

They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Mosaic reserves the right to modify all or part of any job descriptions at its discretion in order to meet and or exceed the needs of the business.

By submitting your application you agree with and accept the Acosta Privacy Statement and Terms of Conditions.

Acosta et Mosaic sont les forces motrices en matière de ventes et de marketing derrière les marques les plus reconnues et éprouvées auprès des principaux détaillants aux États-Unis et au Canada.

Nous proposons des services flexibles qui maximisent l’efficacité. Acosta possède le talent et la technologie nécessaires pour élaborer des stratégies axées sur les données, la portée et les relations, afin de mettre en œuvre ces stratégies, ainsi que les outils pour surveiller, suivre et optimiser les résultats basés sur les indicateurs pour les clients et les détaillants.

Acosta et ses filiales , de bonne foi, estiment que cette fourchette de rémunération affichée est la fourchette précise pour ce poste au moment de cette publication.

Acosta pourrait finalement payer plus ou moins que la fourchette affichée en fonction des qualifications des candidats et des lieux.

Cette fourchette peut être modifiée à l’avenir.

Acosta et ses filiales sont des employeurs offrant l’égalité des chances .

Nous nous engageons à fournir des aménagements pour les personnes handicapées . Si vous avez besoin d’un aménagement, nous travaillerons avec vous pour répondre à vos besoins, dans la mesure requise par la loi.

Les déclarations ci-dessus ont pour but de décrire la nature générale et le niveau de travail effectué par les personnes affectées à cette classification.

Elles ne doivent pas être interprétées comme une liste exhaustive de toutes les responsabilités, tâches et compétences requises du personnel ainsi classé.

Mosaic se réserve le droit de modifier tout ou partie des descriptions de poste à sa discrétion afin de répondre aux besoins de l’entreprise, voire de les dépasser.

En soumettant votre candidature, vous acceptez et acceptez la Déclaration de confidentialité d’Acosta et les Conditions d’utilisation .

Acosta, and its subsidiaries, is an Equal Opportunity Employer

Job Category : Sales Support

Position Type : Full time

Business Unit : Sales

Salary Range : $44,200.00 - $55,300.00

Company : Acosta Employee Holdco LLC

Req ID : 2829