Supervisor, Claims Support

at  TriWest Healthcare Alliance

PROFILE

We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, *HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, *WA, WI & WY only).
Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.
Veterans, Reservists, Guardsmen and military family members are encouraged to apply!

JOB SUMMARY

The Supervisor, Claims Administration is responsible for the daily oversight of a claims administration functional team handling requests related to Government claims. This position may manage one or more work types including, but not limited to, claims research, reconsideration, correspondence, inquiries & escalations, and audits. This role is responsible for ensuring individual and team performance expectations are met within their assigned claims function(s). The Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes.

IT’S WHO WE ARE. IT’S WHAT WE DO.

Do you have a passion for serving those who served?

KEY RESPONSIBILITIES

• Assists in the development and implementation of department policies and training.
• Audits completed work, performs analysis of results, and provides coaching for improvement.
• Responsible for the daily supervision of staff, including multiple job roles.
• Manages assigned functional team(s), to include people, workflows, performance, and procedures.
• Proactively identifies opportunities and collaborates with leaders and subcontractors to drive issue resolution.
• Coordinates with leadership, direct reports, and project teams regarding process changes.
• Collaborates cross-functionally with internal business partners on process changes and improvements.
• Makes recommendations to improve quality and efficiency to enhance service to internal and external stakeholders.
• Exhibits professionalism in all written and verbal communication.
• Hires, evaluates, and develops team members.
• Assesses team performance, initiates corrective action plans, and writes annual reviews.
• Provides telephonic customer service assistance to Government employees, providers, Veterans, and beneficiaries.
• Performs other duties as assigned.
• Regular and reliable attendance is required.

We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage
• Generous paid time off
• 401(k) Retirement Savings Plan (with matching)
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
• Tuition reimbursement
• Paid volunteer tim