224-2012 Supervisor Health Claims (Benefits TPA)
Location: Las Vegas, Nevada
Description: Zenith American Solutions is employing 224-2012 Supervisor Health Claims (Benefits TPA) right now, this occupation will be assigned in Nevada. Detailed specification about this occupation opportunity kindly read the description below. We are currently seeking a Claims Supervisor to lead a group of health claims processors in our Las Vegas office on Russell Road. Respons! ibilities Include: Supervises staff, demonstrating leadership qualities consistent with management values and mission. Develops staff through performance management, goal setting, training, and effective employee relations. Oversees quality and quantity of work produced, ensuring that employees are held accountable and expectations are consistently met. Provides input into departmental budget and oversees expenses to ensure efficient operation within budget guidelines. Develops, implements, and monitors internal systems and procedures to maintain compliance with client needs, new developments, regulations, and reporting requirements. Responds to inquiries and requests from clients, government agencies, unions, participants, attorneys, and consultants. Identifies inefficiencies, troubleshoots equipment problems, and implements solutions. Prepares claims rebuttals and/or appeals, and implements plan changes and audit results. Participates in new business presentations and cli! ent meetings as requested, attends benefit fairs, and assists ! in the implementation of new clients.
Qualifications: Education/Experience Associate degree (an equivalent combination of education and experience may be acceptable). Minimum 2-3 years supervisory or lead experience in automated claims administration in the insurance/TPA industry. Medical Claims Processing, Billing or Customer Service experience preferred. Skills Excellent operational management skills, both technical and interpersonal. Proficient in MS Office products (Word, Excel) required. Strong leadership skills. Thorough understanding of claims operations to include payment of claims, interpretation of contracts, communication of benefits, etc… Intermediate to Advanced PC skills, including Microsoft Word and Excel. Demonstrated strong organizational, analytical, and decision-making skills. Demonstrated strong communication, project management, and presentation skills. Zenith American offers competitive pay and benefits, casual dress, a professional manage! ment team, and more. Send resume and cover letter referencing Job #224-2012 to careers@zenith-american.com or fax to 206.216.3486. Visit us at www.zenith-american.com. We are an equal opportunity employer.Zenith American Solutions (recently formed by the merger of Zenith Administrators and American Benefit Plan Administrators) is a premier, national third-party administrator (TPA) for employee benefit plans. We serve as administrator, manager or technology service vendor for corporate employers, government entities, trade associations, and Taft-Hartley benefit trust funds, through our national network of service centers. We currently have 1200+ employees located in 36 offices across the nation. We combine technology and proven practices with national resources and a local presence for our clients. Come and find out about the great things going on at Zenith American!
- .
If you were eligible to this occupation, please deliver us your resume, with salary requirem! ents and a resume to Zenith American Solutions.
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation will be opened on: Sun, 26 May 2013 09:30:29 GMT
Apply 224-2012 Supervisor Health Claims (Benefits TPA) Here