Benefits Claims Supervisor

at Trustmark in Dover, Delaware, United States

Trustmark’s mission is to improve wellbeing – for everyone. It is a mission grounded in a belief in equality and born from our caring culture. It is a culture we can only realize by building trust. Trust established by ensuring associates feel respected, valued and heard. At Trustmark, you’ll work collaboratively to transform lives and help people, communities and businesses thrive. Flourish in a culture of diversity and inclusion where appreciation, mutual respect and trust are constants, not just for our customers but for ourselves. At Trustmark, we have a commitment to welcoming people, no matter their background, identity or experience, to a workplace where they feel safe being their whole, authentic selves. A workplace made up of diverse, empowered individuals that allows ideas to thrive and enables us to bring the best to our colleagues, clients and communities.

The Claims Supervisor is responsible for the day-to-day management of the Senior Analyst claims team, who handle a variety of tasks including, but not limited to, Customer emails, Correspondences, Grievance and Appeals, HRA , Balance Bills and Transplants, enabling the team to deliver exceptional service to our customers. Facilitate staff development by coaching, motivating, and training staff members to ensure optimal performance. Provide support to Management Level Staff by working closely with them to achieve the highest level of customer satisfaction. They are responsible for participating in assigned projects.

KEY ACCOUNTABILITIES ?

+ Coach, motivate, train, and develop staff virtually, through performance feedback provided in daily interactions as well as in periodic performance reviews.

+ Promptly address customer issues, external and internal, while always looking for ways to exceed their expectations. (includes Claim and state audits, and legal reviews), Identify, research, resolve problems and analyze trends that arise, focusing on one touch resolution and customer satisfaction. Become personally involved with difficult or high-profile situations, keeping management informed.

+ Timely completion of various daily, weekly, monthly, and ad hoc reports as assigned.

+ Ensure assigned tasks and team responsibilitie s are handled within expected and regulated timeframes and production, qualityand inventory levels are within set standards. Assess and prioritize new work, and complete personal and project tasks within expected timeframes. Look for ways of improving processes.

+ Build teamwork by focusing on collaborating, managing conflict, building commitment to common goals, and by meeting the needs of team members, modeling principles, and development of mutual trust and respect. Collaborate effectively with other members of The Leadership Team and off-shore claims handling vendor, on workflow management, customer satisfaction, and overall employee engagement.

+ Actively participate in project meetings as a SME representing benefits.

+ Demonstrate knowledge of core responsibilities and good leadership skills, while pursuing continued development of both. Assist with the interview process when open positions are to be filled.

+ Other duties as needed/assigned.

SUPERVISORY RESPONSIBILITIES

+ Responsible for overall management of the team members, including tracking attendance and job performance.

EDUCATION and EXPERIENCE

Minimum Requirements

+ 3-5 years of experience in insurance and/or benefits customer service

+ High School Diploma

+ Good leadership, organizational and interpersonal skills

+ Strong Written and Verbal Communication Skills

+ Ability to meet deadlines and handle pressure situations.

+ Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff

+ Demonstrated critical thinking skills

+ Ability to effectively deal with problems in varying situations and reach resolution

+ Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)

+ Effectively use MS Office Applications such as Excel/Word

Preferred

+ 2-4 year college degree with focus on the medical and/or business field, preferred but not required.

+ Working knowledge of Operating System(s) used by the Claims and Customer Service Areas.

Come join a team at Trustmark that will not only utilize your current skills but will enhance them as well. Trustmark benefits include health/dental/vision, life insurance, FSA and HSA , 401(k) plan, Employee Assistant Program, Back-up Care for Children, Adults and Elders and many health and wellness initiatives. We also offer a Wellness program that enables employees to participate in health initiatives to reduce their insurance premiums.

For the fourth consecutive year we were selected as a Top Workplace by the Chicago Tribune. The award is based exclusively on Trustmark associate responses to an anonymous survey. The survey measured 15 key drivers of engaged cultures that are critical to the success of an organization.

All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran or disability.

Join a passionate and purpose-driven team of colleagues who contribute to Trustmark’s mission of helping people increase wellbeing through better health and greater financial security. At Trustmark, you’ll work collaboratively to transform lives and help people, communities and businesses thrive. Flourish in a culture where appreciation, mutual respect and trust are constants, not just for our customers but for ourselves.

Introduce yourself to our recruiters and we’ll get in touch if there’s a role that seems like a good match.

When you join Trustmark, you become part of an organization that makes a positive difference in people’s lives. You will play a vital role in delivering on our mission of helping people increase wellbeing through better health and greater financial security. Our customers tell us they simply appreciate the personal attention and knowledgeable service. Others tell us we’ve changed their lives.

At Trustmark, you’ll be part of a close-knit team. You’ll enjoy abundant opportunities to grow your career. That’s why so many of our associates stay at Trustmark and thrive. Trustmark benefits from more than 100 years of experience but pairs that rich history with a palpable sense of optimism, growth and excitement for what’s ahead – and beyond. This is a place where associates bring their whole selves to work each day. A place where you can be yourself. Whatever your beyond is, you can achieve it at Trustmark.