Supervisor Claims Cover Letter

In response to your job posting for supervisor claims, I am including this letter and my resume for your review.

Previously, I was responsible for back up for claims processors to maintain productivity standards and provider backup for processing of specialty claims such as transplants, hemophilia, and home infusion.

Please consider my experience and qualifications for this position:

• Recent claims processing experience
• Medicare Advantage product experience
• Manages the daily operations of assigned team of 20+ claims processors
• Claims for this team are processed on Proclaim and a possibility of PMHS platform
• Understands and utilizes all Management Operating System (MOS) tools to include Balance Time Tracker, Daily Schedule Controls, Automated Scorecard, and Performance Profile
• Works to remove barriers for front line staff and functions as a change leader to staff and matrix partners with regard to efficiency and quality
• Adapts communication style to effectively engage individuals/teams in a virtual environment, delivering communications positively and in support of organizational goals and objectives
• Identifies and executes on individual and overall improvements

In response to your job posting for supervisor claims, I am including this letter and my resume for your review.

Previously, I was responsible for back-up support for all operational functions of team including but not limited to research, analysis and resolution of rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement while adhering to critical deadlines.

Please consider my experience and qualifications for this position:

• Basic knowledge of medical terminology, CPT and ICD codes
• Experience in transaction operation / transaction based work environment
• Systematic problem solving – evaluates processes and systems
• Be proactive - identify and anticipate situations and problems in advance and effectively prepare to deal with them
• Proficient in relevant computer applications such as MS Office, including Word, Excel, PowerPoint, and Access
• Proficiency within Microsoft Excel (pivot table, formulas, VLOOKUP, analyze and trend data)
• Proficiency within Microsoft PowerPoint (presentation, create and edit decks)
• Advanced Knowledge of COB processes and COB industry

I am excited to be applying for the position of supervisor claims. Please accept this letter and the attached resume as my interest in this position.

In my previous role, I was responsible for leadership to a team of claims service center representatives who initiate personal lines claims, respond to customer inquiries regarding existing claims, and handle claims related administrative projects.

My experience is an excellent fit for the list of requirements in this job:

• Demonstrated experience resolving escalated issues and barriers
• Demonstrated experience with inventory management, modeling and forecasting
• Demonstrated experience with planning and budgeting
• Demonstrated experience developing and executing management plans
• Knowledge of CPT/HCPCS, ICD9 coding and medical terminology
• Prior Claim Team Management experience preferred
• Claim system configuration experience preferred
• Claims certification is preferred

In response to your job posting for supervisor claims, I am including this letter and my resume for your review.

Previously, I was responsible for clerical support to a team of claims adjusters and aide in facilitating timely and accurate management of claims by entering stop/cancel/release of checks, processing cash receipts, work check exceptions, and completion of complex state forms.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• High level of analytical, investigative, and negotiation skills
• Thorough working knowledge of Blue Cross, Blue Shield and Major Medical benefits, provider and subscriber inquiry processing procedures, and medical terminology is desirable
• Relevant experience with online claims processing systems is essential
• Knowledge of Ohio's petroleum underground storage tank regulations, particularly corrective action is preferred
• Demonstrate professionalism with peers, subordinates, and superiors
• Interact with internal departments to resolve issues and accurately process claims in a professional manner
• Interact with client (insurance company home office) to resolve issues and accurately process claims
• Accommodations that can be made according to these fluid restrictions and limitations and the necessity for these to change over the life of the claim

I would like to submit my application for the supervisor claims opening. Please accept this letter and the attached resume.

Previously, I was responsible for clerical support to a nationwide team of claims adjusters and aide in facilitating timely and accurate management of claims by entering stop/cancel/release of checks, processing cash receipts, work check exceptions, and completion of complex state forms.

Please consider my qualifications and experience:

• Knowledge of human resource processes, procedures and regulations
• Working knowledge of home repair process
• Extensive knowledge of property insurance law and regulations
• Effective critical-thinking and decision-making skills
• Prior field adjusting experience preferred
• AIC, SCLA, CCLA or PCLA designations are preferred
• Familiar with the Microsoft windows operating environment
• Knowledge of HIPAA, AB1455 and CMS