Firm Name: Aetna

Numbers of Jobs: Supervisor Claim Operations

Education Need: Graduate

Job Hours: 8

Payment: $20-$30/Hour

What's Job City: Dallas

Job Details:

The position of Supervisor, Service Operations assists the Medicare Claims Department. One of the duties is overseeing a group of claim benefit specialists. Others include working with and supporting both internal and external business partners and keeping track of daily claim inventory. accountable for customer growth, retention, and satisfaction through efficient, competitive service delivery. To meet and/or exceed customer expectations, superior claim services can be achieved by integrating quality, claim inventory, and resource management.

•  - In charge of ensuring member and provider growth, retention, and satisfaction through the successful provision of market-competitive services.
•  - Has administrative authority over a local service center that handles claims processing.
•  - Develops, reviews, and analyzes performance reports for each account about the plan, as well as trends in service performance, and suggests specific actions or fixes as necessary. - Develops, trains, evaluates, and coaches staff regularly; provides candid, prompt feedback for improvement; and keeps track of training plans to ensure that training requirements are met.
•  - Uses incentive programs when they are available to recognize, reward, and celebrate the accomplishments of both the team and the individual.
•  - Develops a distinct vision that is consistent with the company's core values; establishes precise, challenging-yet-achievable goals and plans of action; motivates others to balance the needs of customers with the success of the business; and pushes both themselves and others to think ahead to develop high-quality products, services, and solutions. - Attracts, selects, and retains top-tier talent from a variety of backgrounds who are capable of exceeding business goals; fosters a supportive team environment.
•  - Creates and updates materials, including job aids, training manuals, and tools, to support staff members as they work to resolve issues and improve interactions with clients.
•  - Effectively manages or participates in cross-functional projects that support the company's strategy. acts as the staff's main point of contact for management, all segments, and provider teams.
•  - Effectively implements and upholds CVS Health/Aetna HR policies and practices, i. e. attendance, the Code of Conduct, and the disciplinary policies.
•  - Builds and maintains strong collaborative relationships with internal business partners and stakeholders to maintain excellent lines of communication and share resources to meet shared service center objectives.
•  uses the unit's resources to develop and implement solutions after determining the root causes of the plan, claim, or other issues.
•  - Manages and oversees daily workflow and reporting to ensure that business objectives are upheld and accurately reported. She also makes sure that resources are appropriately aligned across functions and/or service centers.
•  This position reports to the Department of Service Operations.
•  A CVS Health bonus, commission, or short-term incentive program may be available for this position in addition to the base pay range mentioned above.

 Enjoy the advantages of working for an organization that, in addition to paying you well, puts its heart into protecting its workers and the community. The company offers extensive dental, vision, and medical benefits. Eligible employees may join the company's 401(k) retirement savings plan and take advantage of the Employee Stock Purchase Plan. The business provides short- and long-term disability benefits, as well as a fully paid term life insurance plan, to qualified employees. Additionally, CVS Health offers a range of wellness programs, educational assistance, free training sessions, CVS store discounts, and partner discounts. The Company offers paid time off (PTO) or vacation pay to its employees throughout the entire year, in addition to paid holidays. A certain number of paid holidays, sick days, and other time off are provided by the laws of the applicable state and corporate policies.

 For comprehensive details on the benefits provided, please visit.

 jobs. gains at cvshealth.com.

 obligatory requirements.

•  For over a year, I've been using Excel to produce reports.
•  employees who have been receiving development or coaching for at least a year.

 Suitable qualifications.

 having a prior call center or claims work experience.

•  – Desktop Applications/Microsoft Outlook/1-3 Years/End User.
•  Applications for Aetna's Automated Claim Adjudication System, 1-3 Years, End User.
•  - Long-term managerial or administrative experience.

 Education.

•  - At least a G or high school diploma. E. D.
•  Associate Degree Preferable.