Supervisor - Claim Adjudication Operations

2 days ago

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Microsoft 365

Microsoft 365 is a cloud-based suite of productivity applications designed for individuals, families, businesses, and educational institutions. It includes popular tools such as Word, Excel, PowerPoint, Outlook, and Teams, providing users with the ability to create, collaborate, and share documents and data seamlessly across devices. Microsoft 365 enhances productivity with features like Microsoft Copilot, which integrates AI capabilities to assist users in their everyday tasks, ensuring secure storage and organization of files while facilitating effective teamwork and communication.

๐Ÿ“‹ Description

โ€ข Provide superior customer service utilizing a high-touch, customer centric approach focused on collaboration and communication โ€ข Develop and sustain a culture of operational excellence that creates value for the customer โ€ข Organize, plan, and align resources for day-to-day activities based on customer priorities โ€ข Manage staffing, including recruitment, supervision, performance management, scheduling, development, evaluation, and disciplinary actions โ€ข Make decisions and remove barriers enabling the team to deliver โ€ข Cultivate an environment of adherence to procedures and guidelines โ€ข Other duties as assigned

๐ŸŽฏ Requirements

โ€ข A two or four year degree and/or a minimum of four years of work experience is required โ€ข Professional PBM industry work experience is preferred โ€ข Knowledge of applicable data privacy practices and laws is preferred โ€ข Healthcare industry practices and HIPAA knowledge would be a plus โ€ข Understanding of human resource management principles, practices, and procedures would be a plus โ€ข Participate in, adhere to, and support compliance program objectives โ€ข The ability to consistently interact cooperatively and respectfully with other employees

๐Ÿ–๏ธ Benefits

โ€ข Top of the industry benefits for Health, Dental, and Vision insurance โ€ข 20 days paid time off โ€ข 4 weeks paid parental leave โ€ข 9 paid holidays โ€ข 401K company match of up to 5% - No vesting requirement โ€ข Adoption Assistance Program โ€ข Flexible Spending Account โ€ข Educational Assistance Plan and Professional Membership assistance โ€ข Referral Bonus Program โ€“ up to $750!

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