Supervisor Claims - HNAS

Highmark Health

1d • Onsite

About The Position

HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. This job supervises and coordinates the day to day activities of the various claims processing or claims adjustment units responding to internal inquiries or inquiries received by members, providers, or account representatives across all markets.

Requirements

• High School Diploma or GED
• 2 years experience in a claims environment
• 1 year experience leading or supervising others
• Knowledge of multiple processing systems and workflows
• Knowledge of claims processing methodologies
• Ability to interpret all government regulations.
• Knowledge of Highmark products.

Nice To Haves

• Bachelor’s degree

Responsibilities

• Communicate effectively.
• Effectively supervise all assigned personnel.
• Coordinate any claim backlog distribution for regular and overtime work both interdepartmentally and companywide.
• Monitor and manage daily inventories to ensure adequate staffing and resources are available.
• Subject matter expert for benefit plan and claims processing issues, implementation of new groups and products, and transition meetings.
• Research quality issues and respond to error assessments.
• Ensure all business processes are routinely monitored.
• Recommend and design, if necessary, process improvements designed to improve accuracy, timeliness of process and/or eliminate manual effort.
• Other duties as assigned or requested.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED