- Manages day-to-day operations of the Claims Department.
- Answers questions and recommends corrective services to address customer complaints or problems.
- Monitors department to observe employee's demeanor, technical accuracy, and conformity to company policies.
- Rates productivity of employees and generates information used to staff effectively and assign additional projects.
- Responsible for continuous education of employees.
- Screens, interviews and recommend candidates for open positions within the departments.
- Reviews Exception Reports daily or every other day depending on the report.
- Change or add account parameters as requested by Reps, Clients or Sales Dept.
- Forward IT requests to Client Services or Project Manager for follow-up and completion.
- Keep Claim Procedures Updated.
- Takes part in Client Review Meetings.
- Meet with Reps to discuss workload, concerns, and requests.
- Communicate with Senior Rep and Team Leader to ensure adequate coverage if a rep is out or needs help completing daily work.
- Perform Yearly Performance Reviews for all Claims Specialists, Team Leader, and Senior Claim Rep.
- Follow up on comment cards that are escalated from Team Leader or Senior Rep.
- Assists Sales Rep with client or prospect visits.
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Family Community Services Kent, United StatesJob Type · Full-time, Part-time · Description · PATIENT NAVIGATOR · SUMMARY: To provide direct, high-quality customer service to clinic patients and visitors and maintain a professional and friendly atmosphere. To coordinate AxessPointe Community Health Center, Inc. (API) health ...
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Axess Family Services Kent, United States Full timeJob Description · Job DescriptionDescription:Legal/Outreach Advocate · Full-Time · $16/hour · SCHEDULE: (Determined on a case by case basis) 40 hours per week, some on- call hours · GENERAL STATEMENT OF DUTIES: Responsible for overseeing the Outreach Legal Advocacy program and · ...
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Human Resource Manager
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LHC New Kent, United StatesSummary · We are hiring for a Registered Nurse. · At Pleasant Valley Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communiti ...
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Human Resources Generalist
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Quality Supervisor
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Third Party Claims Supervisor - Hudson, United States - Fleet Response
Description
Job Description
Job DescriptionJob Summary
Fleet Response is currently seeking qualified candidates' office, for the following position: Third-Party Claims Supervisor. The Claims Supervisor supervises and coordinates the activities of workers in the Third-Party Claims Department. They carry out supervisory responsibilities in accordance with the organization's policies and applicable laws. The Supervisor also studies and standardizes procedures to improve the efficiency and service of the departments.
Essential Duties and Responsibilities
Includes, but is not limited to, the following:
The above statements are intended to describe the general nature and level of work being performed by individuals assigned this position. They are not to be construed as an exhausted list of all responsibilities, duties, and skills required of individuals performing this job. All personnel may be required to perform duties outside their normal responsibilities from time to time as needed.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
EDUCATION and/or EXPERIENCE:
Associate degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.
Prior automotive, fleet management, claims management, carrier and vehicle re-marketing experience required.
Experience coaching, training and/or mentoring others is required.
Experience with handling complex liability & coverage investigations is required.
Prior Insurance Carrier is strongly preferred.
Prior supervisory or leadership experience preferred.
LANGUAGE SKILLS: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions and percentages.
TECHNICAL SKILLS: Ability to use computer to access e-mail and the internet. Basic skills in Windows and Microsoft Office. Strong knowledge of mechanics and repairs for automobiles and trucks.
REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Physical Demands and Working Conditions
The worker is subject to inside environmental conditions: Protection from weather conditions but not necessarily from temperature changes.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Talking: Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed clearly and understandably both in person and over the telephone.
Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.
Repetitive motions: Making substantial movements (motions) of the wrists, hands, and/or fingers.
