Posted:3 days ago| Platform:
Work from Office
Full Time
- Supervise and manage a team of claims professionals. - Ensure timely and accurate investigations are conducted to validate overpayments. - Conduct investigations into complex overpayment claims. - Develop and implement policies and procedures to enhance the overpayment process. - Provide leadership and mentorship to claimsstaff. - Analyze complex overpayment cases, including reviewing data, identifying discrepancies and determining appropriate recovery actions. - Partner with other departmentsto achieve company goals and objectives. - Collaborate with onshore leadership to align offshore team operations with strategic objectives, ensuring seamless execution of payment integrity initiatives. Claims Supervisor Qualifications Skills: - Masters degree in business administration or bachelors degree in a related field. - 7+ years of experience in claims management with US Health care domain. - Proven track record of leading and managing a team. - Excellent communication and interpersonalskills. - Strong analytical and problem-solving skills. - Ability to work effectively in a fast-paced and dynamic environment. - Familiarity with insurance industry regulations and standards
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