Claims Supervisor

 https://www.auxiant.com/

Auxiant’s Mission Statement and Core Values

Mission:
An Independent TPA investing in People and Innovation to deliver expert-driven experiences with REAL Results.

Core Values: Independent Solutions. REAL Results

Respect
Empowerment
Agility
Leadership

Be part of a growing and prospering company as a Claims Supervisor. Auxiant is a third party administrator of self-funded  employee  benefit plans with offices in Cedar Rapids, IA, Madison and  Milwaukee,  WI. Auxiant is a fast-growing,progressive company offering  an excellent  wage and benefit package.

  Job Summary:

· Supervise the claims department to maintain the service and productivity level of standards

Essential Functions:

· Monitoring turnaround time, inventory, examiner production, data entry production and automated production

· Assist examiners and other staff members in questions as to claim process, interpretation of plan design and language, clients, participants and providers questions, claim rules

· Assist in claims processing as needed

· Answer and correspond to necessary inquiries verbally and written including appeals and claim service pre-determinations

· Assist in the customer service phone line queue as needed

· Handle projects that relate to the claims area

· Coordinate projects as needed and directed by Vice President of Operations and Director of Claims and Customer Service

· Prepare, coordinate and revise procedures as needed

· Supervision of positions reporting to Claims Supervisor

· Hire necessary staff force, prepare annual reviews, coordinate vacations schedule, evaluate and discipline staff

· Role model for employees

· Recognize and reward employee performance/results

· Recommend changes for improvement

Nonessential Functions:

· Other duties as assigned or appropriate

Education/Qualifications:

· Medical terminology

· Previous experience in Medical Insurance and/or third party administration

· Previous experience in a leadership role 

· Proficient use of Microsoft Word, Excel, and Internet

· Excellent written/verbal communication skills

· Bachelors Degree and 2-4 years related experience; or equivalent combination of education and experience.

*Full   benefits including: Medical, Dental, Vision, Flexible Spending, Gym   Membership Reimbursement, Life Insurance, LTD, STD, 401K, 3 weeks   vacation, 9 paid holidays, casual dress code and more