Insurance Supervisor Resume Samples

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H O'Connell

Houston

O'Connell

802 Feest Roads

New York

+1 (555) 315 1785

802 Feest Roads

New York

Phone

p +1 (555) 315 1785

Experience Experience

Chicago, IL

Insurance Supervisor

Chicago, IL

Hermiston, Boyer and Klein

Chicago, IL

Insurance Supervisor

Perform analysis on billing trends and communicate to management areas of potential risk
Insightful: Make timely well considered decisions, create innovative solutions and continuously learn
Pro-actively review department internal procedures with a view to continuous improvement of procedures and productivity and make recommendations as necessary
Working towards CIP Qualification
Respectful: Value teamwork, share successes, appreciates others and communicates in a way that promotes trust
Resolve complex complaints and recommend prevention strategies to eliminate similar complaints from recurring
Earnest: Be honest, sincere and consistent. Work hard and pursue our goals together relentlessly

Houston, TX

Insurance Servicing Supervisor

Houston, TX

Wilderman, Brakus and Hane

Houston, TX

Insurance Servicing Supervisor

Coach others by sharing knowledge and advice; provide useful feedback and contribute to performance reviews
Business and management principles involved in the coordination of people and resources
Facilitate discussions and manage and resolve conflict to reconcile differences among others and between self and others
Conduct tests and inspections of services and processes to evaluate quality and performance of peers
Basic knowledge of principles and best practices for representing the organization to clients and providing effective customer service
Utilize established procedures to guide decision-making
Knowledge of processes and best practices related to insurance servicing operations

present

Detroit, MI

Supervisor, Insurance Data Management

Detroit, MI

Rempel, Hagenes and Gottlieb

present

Detroit, MI

Supervisor, Insurance Data Management

present

Assists operations management with the coordination of workflow improvements specific to all related job functions
Works closely with VOB Manager assisting with auditor’s sample requests
Identifies and assists with implementation of business processes and work flow improvements within the organization
Provides input and testing assistance for the development of system enhancements/efficiencies
Performs other duties as assigned by Manager
Manages and directs projects involving multiple members of the staff as directed by the VOB Manager
Maintains constant training and development of staff (including procedural changes, advancement process and other improvements)

Education Education

Bachelor’s Degree in Business

Baylor University

Bachelor’s Degree in Business

Skills Skills

Detail Oriented
Strong Computer/Software Skills
Superior Customer Service Skills
Organization/Time Management Skills
Human Relations Skills
Communication & Writing Skills
Telephone
Fax / Photocopier / Scanner
Computer/software
Calculator

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Insurance Supervisor Resume Examples & Samples

Meet and exceed targets and budgets for all Inbound New Business, Renewals and Cross Sell Sales
Management and delivery of all related sales operation metrics including abandon rates, withdrawal time, AHT, absenteeism and attrition
Ensure Inbound Sales staff are fully briefed on all relevant information on a timely basis. Team Briefs to be completed at least weekly
Pro-actively review department internal procedures with a view to continuous improvement of procedures and productivity and make recommendations as necessary
Proactively facilitate the ongoing training and personal development of all team members in conjunction with the Learning & Development Department through SDRs, listening-in and 1:1 interaction
Resolve complex complaints and recommend prevention strategies to eliminate similar complaints from recurring
Refer complaints of an extremely complex level to Inbound Sales Manager/Quality & Compliance
Ensure all procedures are followed to ensure compliance with insurance regulations as defined by internal procedures and the Financial Regulator
Deputise for Inbound Sales Manager when required and undertake any other relevant duties within the scope of the job as required
Compile and analyse reports as required

Claims Insurance Supervisor Resume Examples & Samples

Prior supervisory experience required
Medical coding certification preferred
Strong research , analytical and problem solving skills required
Excellent people skills required

Corporate Insurance Supervisor Resume Examples & Samples

Procure and help manage Property and Liability Insurance portfolios
Assist with managing the insurance renewal process which includes, but is not limited to obtaining and analyzing underwriting data, determining appropriate risk assumptions and policy terms, collateral requirements, evaluating bids, and presenting proposals to Senior Executives
Help oversee insurance brokers’ daily activities, including issuance of insurance certificates
Review various types of corporate agreements for appropriate insurance, indemnification, and casualty requirements and/or stipulations
Conducts in-depth risk and insurance diligence on Company related Mergers and Acquisitions
Monitor emerging risks by staying informed of internal processes and changing business shifts
Generate metric reporting and performs analysis to identity trends and challenges
Hire and directs staff to include performance evaluations, mentoring, coaching, and corrective action, if needed
Makes recommendations to assist in setting policy and procedure, creating and driving goals for the department
Helps manage and oversee insurance broker stewardship reporting
Provides training and education on insurance and risk mitigation, as needed or requested
Escalates exceptions, outliers, or circumstances that are out-of-norm as they occur and seeks guidance in resolution
Participate in meetings, prepare and present presentations, and/or lead and collaborate on special projects, as determined by the Senior Director of Insurance
Other duties and responsibilities as assigned including but not limited to
Bachelor’s degree in Business, Finance, or related area is required
Associate Risk Management (ARM) designation is preferred
Superior problem solving, organizational, written, and verbal communication skills are critical
Excellent time management capabilities along with a working knowledge and practice of claim functions coupled with analytical abilities
Excellent leadership qualities in the supervision of staff, with ability to motivate
General knowledge of insurance contracts, including legal aspects of court procedures affecting legal liability
Excellent MS Office (especially Excel and PowerPoint), Web applications, and well known industry risk and claims systems is critical
Commitment to the Company’s values of Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment and Fun with ability to demonstrate those positively and proactively to patients, teammates, management, physicians, and/or vendors in every day performance and interactions
Demonstrated sound judgment and initiative in working within departmental and corporate guidelines, including the ability to maintain confidentiality of information
Strong written, verbal, and interpersonal communications skills including ability to listen attentively and to communicate information clearly and effectively throughout all levels of the organization with audiences of varying degrees of familiarity with material
Demonstrated ability to work well with cross-functional groups
Demonstrated interpersonal, collaborative, and relationship-building skills; ability to interact positively with teammates at various levels across the company
Demonstrated ability to communicate difficult or sensitive information tactfully
Self-directed; able to function independently and as a member of a team and to foster a positive work environment
Strong understanding of business process with the ability to deliver requested output timely and accurately
Strong analytical skills with the ability to seek out underlying assumptions through probing, questioning, and listening; ability to analyze information quickly and accurately with demonstrated ability to perform root cause analysis, prepare and implement action plans, and lead improvement initiatives
Must be trustworthy, and willing to be entrusted with highly confidential information
Demonstrated strengths in organizational, attention-to-detail, follow-through, critical thinking, and innovative problem solving skills
Strong time management skills; ability to manage multiple deadlines and priorities in a fast-paced, ever changing and evolving work environment with shifting time frames

Insurance Management Supervisor Resume Examples & Samples

A "community first, company second" culture based on Core Values that really matter
Minimum of two (2) years’ experience in customer service, healthcare organization and/or insurance company
Experience in a healthcare organization working with a clinical team and patients strongly preferred
Demonstrative extensive understanding of insurance plans and benefits (PPO, HMO, POS, EPO, Indemnity) required
Demonstrative understanding of COBRA benefit options and Coordination of Benefits strongly preferred
Demonstrative understanding of Federal and State level health coverage benefits as they relate to ESRD strongly preferred
Flexibility to travel up to 85% of the time

Healthcare & Insurance Operations Supervisor Resume Examples & Samples

Provides front-line supervision to an operational, production, sales, service or administrative team
Delegates assignments; plans and allocates work of the team
May contribute to financial and resource planning for the results of a team
Supervised team typically responsible for high number of transactions or processes
Supervised team typically performs a single task or multiple, but closely related tasks
Impacts team results through work of self and others
Assumes responsibility for accuracy, service and results of a team
Develops tactical plans, schedules, and key milestones
Monitors daily progress/status and makes adjustments/corrections to ensure optimal performance and service
6-8 years of relevant experience or equivalent combination of education and work experience
Previous managerial/leadership experience not required
Must be a graduate

HC & Insurance Ops Supervisor Resume Examples & Samples

Manage a team of coders
Develop planning, schedule and deliver quality
Manage and prioritize deliverables
Work closely with training team and to be updated on the coding nuances
Encourage process and accurate quality with coding and drive efficiency
Actively engage in resolving key issues that impact the team or coding
Report status to senior management
Set performance goals and perform performance reviews/appraisals
Mentor/Coach team members to identify and achieve their career goals
Identify and schedule training to enhance technical and non-technical knowledge/skills of the team
Hire and retain talent
5+ years of team handling experience along with coding expertise
Thorough knowledge in the specialty Radiology coding
Active CPC certification is mandatory
Excellent communication and presentation skills
Leadership skills in working with extended engineering teams
Experience working with globally distributed teams

Insurance Supervisor Resume Examples & Samples

Previous customer service experience
Minimum of 2 years previous leadership experience or current experience in a senior/mentoring role
Demonstrated ability to assess team member performance and implement action plans
Demonstrated ability to make and communicate decisions autonomously
Direct: Communicate clearly and objectively; don’t be afraid of difficult conversations. Raise concerns through the proper channels

Healthcare & Insurance Operations Supervisor Resume Examples & Samples

Manages the hiring, staffing, and maintenance of a diverse and effective workforce to ensure adherence to client SLAs
Monitors daily progress/status and makes adjustments to ensure optimal performance. GQC included
Responsible for assisting with development of OBR, MBR and QBR presentations
Directs the efforts of others in the achievement of the strategic and operational objectives of the group
Should have considerable experience in US health Care with exposure to Provider side of the business

HC & Insurance Ops Supervisor Resume Examples & Samples

Any Degree
Minimum 5 years of Claims Adjudication or Provider Contract Data Management process experience
Should be ready to do night shift
Should have experience of managing a minimum of 25-30 associates
Should have an eye for continuous process improvement
Should have managed Client SLA performance

CPS Insurance Supervisor Resume Examples & Samples

Trains new employees and ensures that entire staff is properly trained and has the tools required to be successful
Monitors employees’ workflow
Maintains staff scheduling for work hours, appointments, and vacation time
Reviews employees’ assigned tasks upon completion
Follows-up with employees to ensure they conform to standards and procedures
Ensures employees maintain a high level of accuracy
Establishes employees’ objectives and prepares and presents performance reviews
Interviews candidates for open positions
Counsels employees
Communicates verbally and in writing with customers as appropriate
Prepares and monitors reports on assigned unit activities as required
Communicates openly with management and staff through organized meetings. Conducts staff meetings
Gives support and direction; answers questions; and assists in solving problems for staff and other units as needed
Keeps unit procedures updated as needed
Ensures employees know and adhere to applicable state and federal regulations
Works at a computer terminal for a large portion of the day
High school diploma
Three or more years bank operations experience
Three or more years supervisory experience
Very good knowledge of bank operations
Good knowledge of assigned consumer finance activities preferred
Strong communication and customer service skills
Experience in Word and Excel programs
Strong supervisory skills

HC & Insurance Ops Supervisor Resume Examples & Samples

Flexible to work in rotational/night shift
Should have minimum 2 years of experience in people management
Should have experience in managing team size of 25-30 members
Ability to drive continuous process improvement
Rich experience in client communication via email/calls
Should have experience in preparing the presentation for business reviews
Should have managed client SLA performance
Should have minimum of 8-12 years of experience in Healthcare claims processing

Insurance Examiner / Analyst Supervisor Resume Examples & Samples

Certified Financial Examiner (i.e., CFE) designation by Society of Financial Examiners; 5 yrs. exp. in accounting, internal auditing, finance, marketing, insurance or business administration; valid driver's license; must provide own transportation
Or Certified Public Accountant (i.e., CPA) designation by state accountancy board; 5 yrs. exp. in accounting, marketing, internal auditing, finance, insurance or business administration; valid driver's license; must provide own transportation
Or equivalent of Minimum Class Qualifications For Employment noted above may be substituted for the experience required, but not for the mandated licensure/designation

HC & Insurance Ops Supervisor Resume Examples & Samples

Responsible for assisting with management of all SLA (Service Level Agreement) clauses and margins of the account
Interact with client SME/Quality/Managers on daily basis
Responsible for the growth of the account through seamless operational delivery
Maintain current knowledge of CMS compliance requirements as they pertain to Medicare Advantage enrollment and member maintenance
Undergraduate degree and 2-4 years relevant experience, OR graduate degree and 0-2 years of relevant experience
Should have considerable experience in Healthcare and Medicare CMS requirements
1+ years of previous managerial/leadership experience required
Should be able to handle reports on excel, PPT, Viso etc
Strong verbal and written communication skills, with the ability to communicate effectively with a broad range of audiences including direct reports, executive leadership, and the client
Solid analytical, problem solving, and organizational skills

Insurance Supervisor Resume Examples & Samples

Plan, coordinate, and implement the Medical Insurance Benefit specialist team for Coram healthcare
Design and implements a methodology for centralizing Payor Billing and Authorization requirements specific to the enteral business
Manage a team of employees responsible for maintaining payor documentation
Perform analysis on billing trends and communicate to management areas of potential risk
Ensure policies and procedures are monitored and updated to include regulatory changes
Determine and document billing requirements for a large variety of insurance companies

Insurance Operations Supervisor Resume Examples & Samples

Strong People Management and Leadership Skills
Above average Communication Skills, both written and oral
Must be detailed oriented and ability to analyze and solution for process improvements
Working knowledge of Microsoft Word, PowerPoint and Excel
Basic knowledge of business and management principles involved in the coordination of people and resources
Advanced understanding of documentation processing systems, tools and technologies; knowledge of rules-based processing workflows
Experience managing documentation processing workflows; experience supporting leadership roles; increasing levels of responsibility
Experience in the mortgage or insurance servicing industry

HC & Insurance Ops Supervisor Resume Examples & Samples

Good Team management and operational skills
Thorough knowledge in the specialty( ED) coding ,Outpatient clinics
Any life science graduates (BPT, nursing, medical transcription preferred), Codes and abstracts information from a variety of medical records and assigns appropriate codes based on medical documentation using CPT-4 and/or ICD-10coding guidelines

Insurance Operations Support Supervisor Resume Examples & Samples

Plan, perform, and report on quality assurance reviews of regulatory bank filings
Assess identified issues for root cause and track remediation of these issues
Present and report findings to senior and executive levels of management on a periodic basis
Test internal systems for data quality
Track process recommendations and ensure that they are being implemented
Bachelor's degree required in accounting, business or related field
5 - 7 years of experience in auditing, bank accounting/reporting experience or other regulatory-related experience
CPA or CIA, with compliance/auditing experience preferred
Experience should include work with, and a strong understanding of, bank reporting requirements
Strong analytical and critical thinking skills
Demonstrated ability to partner cross-functionally to deliver results
Working knowledge of Microsoft products (e.g. Excel, Word, and PowerPoint) required
Familiarity with Essbase a plus
Strong written and verbal communication skills with the ability to interface and proactively engage with different levels of management
Ability to proactively manage issues and assignments, and move work forward with limited direction
Some weekend and evening work required especially around quarter end deadlines

Insurance Servicing Supervisor Resume Examples & Samples

Support insurance servicing management team by overseeing completion of delegated tasks, monitoring policy modifications and assisting with workflows as required to ensure accurate and timely updating of loan information
Coach and develop team leads by supervising managerial responsibilities and providing advice and direction to ensure a cohesive and effective approach to department leadership and guidance
Guide delivery of accurate and efficient services by conducting regular quality checks, tracking contributions of team members, monitoring adherence to established guidelines and collaborating with team management to recommend improvements and share feedback on effectiveness of insurance servicing operations
Guide and mentor direct reports within area of responsibility by encouraging adherence to service expectations, collaborating with management to develop performance evaluations and promoting best practices to ensure compliance of insurance servicing processes and achievement of department standards
Support positive client relationships within assigned area by communicating with key external stakeholders as required to clarify and resolve inquiries, solicit feedback, and understand client needs and expectations
Leverage subject matter expertise by utilizing comprehensive knowledge of processes, queues and client-specific procedures to support multiple workflows, manage escalated service calls and resolve complex issues and client inquiries
Supervise daily operations of team by coordinating and communicating employee tasks, measuring performance and providing feedback to achieve high productivity and meet service level expectations
Provide a positive environment by modeling cultural expectations and influencing others to reward performance and value 'can do' people, accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, creativity and fun
Adopt NGIC values in personal work behaviors, decision-making, contributions and interpersonal interactions; manage own career development by soliciting feedback and valuing other perspectives

Supervisor, Insurance & Benefits Accounting Resume Examples & Samples

Reviews all journal entries and account reconciliations for Tenet's malpractice, workers compensation, other insurance programs, retirement plans and health & welfare benefits activity
Coordinates posting of all monthly entries for the department; performs account flux analyses to assist Corp Accounting
Completes quarterly analyses of self-insurance reserves, including malpractice, workers’ compensation, health benefits , auto and property
Reviews detailed reconciliation of 401k funding by facility to payroll reports
Communicates with hospital accounting staff to respond to questions regarding monthly allocations and recoveries
Reviews journal entries and account reconciliations for Tenet's captive insurance subsidiaries
Assists our external auditors with various analyses for Tenet's corporate audit, benefit plan audits and captive insurance subsidiaries audits
Perform fair value investment accounting analyses for the various insurance captives and benefit plan audits
Primary responsibility for preparation of financial statements for the 401(k) plan and THINC insurance captive
Bachelor's degree with major in Accounting
Minimum 5 years of relevant accounting experience
Public accounting experience preferred
Advanced spreadsheet capabilities

Insurance Operations Supervisor Resume Examples & Samples

Provide leadership and direction to insurance specialist and pharmacy technicians in a high production environment
Assist in the development and maintenance of teammate training, reference and audit tools
Assist in the development and implementation of Standard Operating Procedures (SOPs) and job aids for all functions performed
Develop a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on the insurance queues and billing workflow within the first 6 months
Maintain absolute compliance to all applicable regulations via a thorough practice of documentation and organizational skills
In assigned area of leadership, this position will demonstrate expert knowledge and training for employees, as well as serve as initial response for problem or process review
8 to 10 years of leadership experience, with a strong emphasis on people management is required
Manage and ensure effective employee/labor relations; create an ethical, non-discriminatory and safe work environment; establish effective communication lines/methods; identify and solve employee problems; manage conflict, respond to grievances
Accept resignations, initiate terminations as needed
Approve leave and overtime in accordance to projected parameters; complete/ review and approve time sheets
Experience and knowledge of electronic claims adjudication process, commercial insurance, Medicare Part D and Medicaid programs reimbursement rules, prior authorization requirements and regulations in the pharmaceutical industry. Retail pharmacy experience is preferred
Excellent organizational and leadership skills are required. Must be able to manage team performance; train or provide adequate training for employees; coach, counsel and motivate employees; evaluate employees; investigate complaints or performance concerns; implement disciplinary action as needed and in partnership with appointment authority and Human Resources
Must have the ability to work in a high production environment, meet deadlines, and demonstrate critical thinking skills
Ambitious, energetic, and willing to learn and grow
Bachelors degree Business Administration, Health Care Administration, or similar discipline is strongly preferred. We will consider candidates with a less-relevant educational background in lieu of applicable experience

Insurance Tracking Loan Operations Supervisor Resume Examples & Samples

Ensures bank and department procedures are followed and quality standards are met
Coordinates and directs the daily operations of a loan operations unit
Assigns work and determines workflow
Manages nonexempt staff
Takes necessary measures to protect the integrity of Regions in the event a loan becomes a serious credit risk and Regions has to take legal action against the borrower
Identifies, designs and implements process improvements to increase department efficiency
Has the responsibility for hiring, discipline, coaching and counseling of associates
Ensures staff is properly trained and adheres to policies and procedures

Insurance Operations Supervisor Resume Examples & Samples

Excellent analytical, organization, time management skills required
A clear demonstration (in previous positions) of excellent problem-solving and independent thinking skills required
Proficient in MS Office (Word/Excel) required
Outlook, and AS400 skills preferred
Experience with various HR systems and processes
Experience with call centers and call workflow management/systems like Avaya/CMS
Three to five years supervisory experience
Experience in insurance services, claims
Supervisory experience in fulfillment/operations preferred

Insurance Collections Supervisor Resume Examples & Samples

Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
Promotes a culture of safety for patients and Associates through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environment
Consistently supports the organizations Associate Satisfaction goals established by creating a positive work environment for our associates. Ensures departmental Associate Satisfaction goals are achieved annually
Supervises the work of TLRA employees by empowering, coaching, answering questions, giving guidance, and leading by example
Maintains detailed knowledge of state and federal laws. Ensures that current processes are reviewed and updated to meet regulatory requirements
Maintains ongoing knowledge of all standard bill forms and other mandatory state billing forms and filing requirements. This includes 837, 835, 272 and 276 HIPAA transactions
Identifies possible trends or issues and provides possible solutions. Communicates and escalates information to Leadership and internal/external Customers
Exhibits an understanding of CPT, HCPCS and ICD9 coding regulations and guidelines
Monitors billing, collections, post payment review, and correspondence activities to ensure timely completion and identify any improvement opportunities
In coordination with the unit Manager, monitors and conducts performance reviews and provides feedback to team members. Works with team members to improve, track, and develop in areas of poor performance
Actively participates in TLRA projects and system upgrades
Proactively evaluates processes to identify progressive solutions
Ability to identify issues and determine appropriate levels of escalation
Communicate issues effectively and professionally to all levels within the organization
Evaluates key performances indicators to ensure they are meeting business needs
5 years' experience providing leadership related to billing, collection and post-payment review of Government/Non-Government patient accounts, preferably within a multi-facility environment
5 years' experience and excellent working knowledge of payer regulations including Medicaid, Medicare, Federal & State Funded programs and thorough understanding of Managed Care contracted plans. Experience and knowledge of Patient Accounting Systems in a multi-facility environment preferred
Demonstrated success with building and guiding a team to develop and monitor collection processes to meet organization goals and objectives required. Experience with providing visible sponsorship and guidance of major change initiatives preferred
Management by Fact process skills to develop root cause and corrective actions for teams (can be trained within 3 months of hiring)
Lean Six Sigma skills (possess or obtain within 3 months of hiring)
Accounts Receivable and/or Collection System applications and MS Office Applications
Understanding of Revenue Cycle
Understanding of coding requirements
Medicare, Medicaid, Managed Care and Commercial Insurance/Self-Pay, and Third Party regulations and outcomes
D.Interpersonal Skills
Ability to lead teams, mentor and support development of resources
Must have professional and courteous skills
Must have ability to make independent decisions that are generally guided by established procedures and/or collection process
Excellent Communication Skills
Commitment to CHRISTUS Health values
Continuous Improvement
Customer Orientation
Team Orientation
Problem Solving
Results Oriented

HC & Insurance Ops Supervisor Resume Examples & Samples

Selects, leads, counsels and motivates across processes
Develops and communicates plans / objectives
Develops / Propose & Implement procedural changes to improve deliverables results
Improves process efficiencies in support of objectives
Uses a variety of data analysis tools and methodologies; applies independent judgment to solve systemic problems
Should be a graduate with relevant experience in Life Insurance
LOMA Certification is not mandatory but will be valued if completed
Should be Six Sigma certified or trained. Should have completed minimum of 2- 3 Six sigma projects with potential savings for business
Should have experience on transitions (at least Remote transitions)

Insurance / Healthcare Supervisor Resume Examples & Samples

Supervise a team primarily comprised of non-exempt employees or contingent workforce with well-defined, limited scope, including directing daily work activities/priorities, time tracking, people recruitment and development, cost management and workforce planning. Provides general supervision and guidance within one functional area
Act as a resource to staff related to benefit and salary administration. Assists with hiring tasks. Manage Focal Point Review process for employees. Manage team and individual performance. Monitors team members’ progress on goals
Reviews production reporting as required to support processes. Lead team toward operational excellence by monitoring key metrics, ensuring team goals and contractual commitments are met. Monitors Service Level Agreements. Produce goals to include process improvements
Provides production data to upper management as appropriate. Good people management ability and handles all people care related activities. Creates a working environment that is conducive to individual growth, high performance, is challenging and rewarding
Bachelor’s degree in Insurance, Healthcare or related field or equivalent work experience
Typically 4+ years of relevant experience
General knowledge of corporate organization and policies
Intermediate skills in project management, communications, analysis and presentation
Solid communication skills
Ability to motivate and inspire a team

Supervisor, Insurance Department Resume Examples & Samples

Extensive knowledge of insurances-PPO, EPO, HMO, Indemnity, Medicare, MediCal, Workers' Compensation Specialty, Insured Service
Must possess excellent written and oral communication skills
Must possess excellent customer service skills
Must possess computer skills (Mainframe, Windows, Internet Explorer, Microsoft Outlook, Microsoft Word and Microsoft Excel) must understand how to use a practice management system to work accounts receivable
IDX experience
2-5 years of college and 3years of account receivable experience or five to seven years of equivalent accounts receivable experience in a multi-specialty group
Two years of supervisory experience

Insurance Service Supervisor Resume Examples & Samples

Interview and select personnel
Communicate to management regarding issues affecting the performance of the staff or customer satisfaction
Continuously consider process improvements and implement best practices
Ensure all critical operational metrics are achieved such as service levels, customer care, productivity standards, customer satisfaction scores
Hold frequent development discussions
Compile and conduct performance appraisals and checkpoint meetings
Identify training needs and evaluates current training methods to maximize individual performance and unit flexibility
Research and resolve escalated requests and or complaints from internal and external customers
Coach and provide leadership in team, daily support to team members with issues; motivates others to excel
Effectively communicate within Policy Operations with other business partners and third parties, demonstrates managerial courage when communicating with Senior Leadership
Review and report work volume and Operational results
Back up unit personnel as needed
Answer policy level requests such as policy and billing questions, cancellation requests, updating customer profiles, processing billing adjustments/drafts,and refunds
Handle situations independent of a Manager with ability to resolve conflicts and empathize with customers
Provide superior service by delivering a WOW experience for both independent agents and National General Insurance customers
Share feedback when training opportunities are identified
Effectively communicate through oral and written communication
Handle administrative work; time cards, reports, spreadsheets
Assist with budget variances as needed
Demonstrate exceptional leadership, diplomacy,and coaching/mentoring skills
Proficient in Microsoft Office Suite (Word, Excel, Outlook)
Ability to work independently as well as collaboratively in a team environment
Ability to multi-task and manage several systems on a daily basis
Demonstrates excellent problem solving and decision making skills
Associates or Bachelor Degree, or equivalent leadership experience
Demonstrates in-depth knowledge of structure, functions, flow, and procedures of Policy Operations
Previous experience in insurance customer service with personal auto, commercial, motorcycle, recreational vehicle, accident and health, supplemental health, and/or homeowners products is preferred
Active Property & Casualty License preferred

Insurance Processing Supervisor Resume Examples & Samples

Develop, implement and monitor workflows and protocols for continuous quality improvement
Responsible for completion of required reporting according to established timelines and reporting parameters
Monitor and maintain standard operating procedures for billing and reimbursement activities. To include proper transmission of claims, electronic claim rejections and resubmissions, denials, secondary claims, appeals, error corrections, claim review and supporting systems
Perform analysis and trending for claim denial, rejection, requests for information, and/or payment keeping management informed of issues or patterns affecting operations
Provide support and guidance for team to increase operational efficiencies
Support Office Managers, Dentists and Field Management teams as needed. Accountable for responding to management/dentist concerns timely and effectively
Relationship management and development with internal and external customers
Recruiting and support of staff development by evaluating, coaching and counseling to improve individual and team performance
Provide direction to teams and assist with strategy toward achieving departmental goals
Minimum 4 years experience claims processing
Leadership experience required
Excellent organizational and time management skills
Dental office experience helpful

Supervisor, Insurance Data Management Resume Examples & Samples

Maintains and plans IDM Representatives’ workflow and task assignments throughout the day
Monitors daily activity ensuring standards are met and metrics are analyzed
Performs monthly, quarterly and yearly staff evaluations
Meets with individual staff members and holds OnTRaCC conversations
Assists operations management with the coordination of workflow improvements specific to all related job functions
Assists operations management with the implementation of the strategic plan for the proactive customer support model
Maintains continuous communications and training with staff of new or changed procedures
Maintains constant training and development of staff (including procedural changes, advancement process and other improvements)
Researches and resolves escalated issues related to insurance dates, provider contract updates and any department issue that an IDM Representative cannot resolve or have the authority to resolve
Advises and assists staff with plan codes & fee schedules setups and updates
Reviews and approves Plan Code, Fee Schedule & LOA request forms ensuring high levels of accuracy
Updates and creates departmental policies and procedures
Assists and mentors staff during calls, daily activities and meetings
Resolves and reports on customer complaints per company policies and procedures
Creates cohesion amongst staff members and departments to ensure a productive working environment
Ensures, through positive reinforcement, that staff maintains a consistent and positive customer service image when interacting with providers and other departments
Utilizes contact call center management tools to review customer service as it related to calls received and other metrics related to telephony
Works closely with VOB Manager assisting with auditor’s sample requests
Participates in development of departmental process efficiencies including implementation and testing of application enhancements
Follows all regulatory policies, procedures, privacy, and security standards in accordance with government agencies including all HIPAA requirements
Identifies and assists with implementation of business processes and work flow improvements within the organization
Lends guidance, support and subject matter expertise to management team and other departments
Provides input and testing assistance for the development of system enhancements/efficiencies
Manages and directs projects involving multiple members of the staff as directed by the VOB Manager
Demonstrates ability to perform duties of an IDM Representative as needed
Performs other duties as assigned by Manager
High School Diploma required
Associates Degree or equivalent preferred
Three to five years customer service/sales management experience
Ability to be goal oriented and results focused
Ability to organize activities and meet set deadlines
Ability to communicate, both in writing & verbally, with others in a professional manner
Ability to perform effectively in current position
Communication & Writing Skills
Human Relations Skills
Ability to sit for long periods working on computer and/or using phone
Ability to lift 15-20 pounds

Sales Supervisor, Insurance Resume Examples & Samples

College degree (BS/BA) and/or equivalent work experience
Previous call center or inside sales management experience a plus
Excellent organizational and prioritization skills with the ability to handle multiple tasks and meet deadlines while working independently
Demonstrated PC / Technical skills – Windows and MS Office Suite (i.e. Excel, Word and PowerPoint)

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