Supervisor, Claims Operation

At CVS Health, we are dedicated to providing the highest quality of care and service to our customers. As a Supervisor of Claims Operations, you will play a crucial role in ensuring the accurate and timely processing of claims. We are seeking a highly organized and detail-oriented individual with strong leadership skills to join our team. With your expertise and guidance, our claims operation team will continue to excel and exceed expectations. If you are passionate about helping others and have a strong background in claims operations, we want to hear from you.

Oversee and manage the day-to-day operations of the claims department.
Ensure timely and accurate processing of claims in accordance with company standards and policies.
Develop and implement efficient and effective processes for claims processing.
Monitor and analyze claims data to identify areas for improvement and implement solutions.
Train and mentor team members to ensure a high level of productivity and accuracy.
Maintain a thorough understanding of state and federal regulations related to claims processing.
Collaborate with other departments to resolve complex claims issues and improve overall performance.
Conduct regular performance evaluations and provide feedback and coaching to team members.
Handle escalated customer inquiries and complaints related to claims.
Stay up-to-date on industry trends and developments, and make recommendations for continuous improvement.
Prepare and present reports on claims performance to senior management.
Maintain accurate records and documentation for all claims-related activities.
Ensure compliance with company policies, procedures, and ethical standards.
Work with cross-functional teams to implement new processes and systems to improve efficiency and accuracy.
Foster a positive and collaborative work environment to promote teamwork and employee engagement.

CVS Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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