Claims Supervisor

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

Modivcare is looking for an experienced Supervisor - Claims to join our team, responsible for assisting with the management of the Claims Department and acts as a liaison between the transportation providers and the company.

This role...

• Supervises, manages and develops a team to meet operational and contractual goals.

• Coaches and mentors team members.

• Completes performance reviews for team members.

• Provides a high level of customer service to the Operational offices supported by the Claims team and the Claims office.

• Researches issues regarding the processing of transportation claims.

• Reviews team work performance to ensure accuracy and efficiency.

• Works through the Claims team to handle claims disputes with transportation providers and/or members.

• Communicates directly with the transportation providers and/or members if an issue is escalated.

• Oversees the mailing of claims payment checks with the appropriate explanation of payment.

• Creates, analyzes and reports on the statistical information regarding the performance of the claims department.

• Ensures all Claims office deadlines are met.

• Ensures the adherence to all company policies and procedures by each team member.

• Develops and improves work processes.

• Participate in other projects or duties as assigned.

• Determines appropriate resourcing of staff in order to achieve goals and objectives.

• Coaches employees on performance gaps, career development opportunities, and strategies.

• Mentors and coaches employees on all human resource related processes including onboarding, performance management, employee relations, compensation and rewards.

• Recognizes others’ contributions and share credit for success.

• Owns attainment of high employee satisfaction and retention; lead development of program and initiatives within group to attain high employee satisfaction.

• Prepares and manages budget as assigned; analyzes variances and initiates corrective actions to maximize operational performance.

We are interested in speaking with individuals with the following…

• Bachelor's Degree required.

• Four (4) plus years experience.

• Up to one (1) years leadership responsibility.

• Experience with healthcare related billings. This should include a working knowledge of HCPCS, ICD-9 and Condition codes.

• Three (3) years data processing experience preferred.

• Or equivalent combination of education and/or experience.

• Strong ability to use thinking and reasoning to solve a problem.

• Excellent communication skills, both verbal and written.

• Excellent ability to take care of the customers’ needs while following company procedures.

• Ability to make critical decisions while following company procedures.

• Ability to get along well with a variety of personalities and individuals.

• Ability to influence others to perform their jobs effectively and to be responsible for making decisions.

• Excellent ability to organize and direct oneself and effectively supervise others.

• Excellent ability to find a solution for or to deal proactively with work-related problems.

• Ability to effectively build relationships with customers and co-workers.

• Driven ability to complete assigned tasks under stressful situations.

• Knowledge of and proficiency in quality improvement tools and processes.

• Demonstrated initiative; and ability to follow instructions and complete assignments in a timely manner.

• Proven experience dealing with crisis and ability to create processes that best benefit the entire team.

• Model excellent customer service and phone skills.

• Strong management and organizational skills.

• Able to handle multiple tasks simultaneously.

• Ability to accurately type 35+ words per minute.

• Proficient in Microsoft Word, Excel, Access, PowerPoint and Outlook.

Salary: $52,900 - $65,000

Bonus eligible based on individual and company performance.

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received.  We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. 

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

• EEO is The Law - click here for more information
• Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
• We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at [email protected]