Claims Customer Service Supervisor

Claims Customer Service Supervisor,  Full-Time, Day Shift

Community Care is hiring a Claims Customer Service Supervisor to join our team. This rewarding opportunity is perfect for someone who enjoys team collaboration, being part of a mission driven organization and who shares our mission to help elderly individuals and adults with physical and intellectual disabilities continue to live as independently as possible in the community. This is a full-time opportunity at our Waukesha site.

Claims Customer Service Supervisor Job Responsibilities: 

• Supervises the day-to-day operations of the Claims Customer Service function.
• Monitors vendor complaints and appeals in order to spot trends and make recommendations for long-term solutions.
• Resolves complex and escalated complaints.
• Develops and monitors procedures to track appeals and grievances. Responsible for assembling information to support
  appealed claims.
• Collaborates and coordinates with other staff members from within and outside of the department to resolve claims
  related customer service appeals, complaints, inquiries and issues.
• Establishes and maintains procedures for coordination of benefits, including contractually required reporting.
• Prepares routine reports for management on provider complaints, appeals, call volume, and other activities as requested.
• Provides claims customer service related reports to management as requested.
• Develops and implements cost control measures, including monitoring and controlling overtime work by department
  employees.
• Develops and documents policies and procedures for the claims customer service functions.
• Maintains current industry knowledge through association memberships and/or continuing education.
• Performs other job-related duties as assigned.

Claims Customer Service Supervisor Job Requirements:

• Experience: Required -  A minimum of three years of call  center customer service experience in a health care insurance or provider setting and one year of supervisory, customer account rep or team lead  experience.
• Education: Required - High school diploma
                      Preferred - College degree in Business field
• Additional Requirements: Regular local travel requiring use of personal vehicle,   valid drivers license and proof of required insurance coverage. 

Claims Customer Service Supervisor Job Schedule: 

• Full-time, 40  hours per week, generally Monday - Friday 8AM-4:30PM 

About Community Care

Community Care is a local nonprofit with more than 40 years of experience helping older adults and adults with disabilities live as independently as possible within the community. We coordinate and deliver a full range of supportive services that help more than 13,000 Wisconsin residents live safely, confidently, and with dignity. We are Wisconsin-based with local offices supporting each of the 15 counties we serve. Our dedicated team works with members to develop care plans to meet their health and social needs Together with our community partners, we’re committed to providing compassionate, personalized care that empowers members to live a healthy and independent lifestyle.

Compensation and Benefits:

Our employees make a real difference in people’s lives every day, that is why we are proud to offer a compensation package that includes:

• Generous, paid time off
• Competitive pay and benefits (health, dental, vision, etc.)
• Flexible benefits plan
• Employee referral program
• Coworkers care program
• Retirement plan with employer contribution
• Employee Assistance Program

Community Care is an Equal Opportunity Employer