305-2013 - Claims Supervisor
Location: Las Vegas Nevada
Description: Zenith American Solutions is at present recruited 305-2013 - Claims Supervisor right now, this vacancy will be placed in Nevada. More complete informations about this vacancy opportunity please give attention to these descriptions. Zenith American Solutions. Remarkable People, Remarkable Results. We are far more than a benefits administrator â€" we are the strongest, most respected third-party administrator in the industry, and we are pleased to announce an exciting new opportunity.
We are currently seeking an experienced Claims Supervisor to lead our team of Health Claims Processors in our Las Vegas office. This is an excellent opportunity for an individual with proven supervisory and health claims experience!
Primary Responsibilities:
! Supervises staff, demonstrating leadership qualities consiste! nt 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 client meetings as requested, attends benefit fairs! , and assists in the implementation of new clients.
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.
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.
We offer competitive pay and benefits including 401(k) and paid time off (P! TO), great opportunities for growth, professional management teams, and! much more! Please apply via Careerbuilder, or send your resume and a cover letter referencing Job #305-2013 â€" Claims Supervisor to careers@zenith-american.com .
Zenith American Solutions is the largest Taft-Hartley Third Party Administrator (TPA) in the United States and currently operates over 35 local offices nationwide. We serve as administrator, manager, or technology service vendor for Taft-Hartley benefit trust funds, corporate employers, and government entities through our national networks. We combine technology and proven practices with national resources and a local presence for our clients. We are focused on providing self-funded plans cost-effective technologies, services, systems, and support methodology, allowing them to navigate complex regulatory requirements smoothly - which means that our clients get to spend more time doing what they do best.
Interested in learning more about the opportunities at Zenith?
Visit us at www.zenith-ame! rican.com !
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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Zenith American Solutions.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Sat, 04 Jan 2014 10:41:12 GMT