Claims Production Supervisor - Eau Claire, WI
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
At Uniprise, a UnitedHealth Group company, our people and technology meet the benefits needs of employees and families at more than one-fourth of the Fortune 500 companies through customization and innovation. National employers can then best access the full range of products and services offered by UnitedHealth Group companies while enjoying the ease of integrated administration for all employee services. It's a thriving business with an added personal significance…and a rare combination that will allow your career to flourish.
Responsibilities:
Enable team members to ensure consistent quality service to internal and external customers.
Serve as a leader by directing/ensuring the team successfully applies proper claim procedures strategy to each interaction.
Serve as first point of escalation for SME's on procedural/technical issues/coach staff regarding how to effectively resolve the issue(s).
Maintain a positive work environment that supports a quality driven team/identify any issues that may inhibit an individual's or the team's performance.
Motivate individuals/teams to process claims in a timely manner.
Involvement in the development of improvement plans for their staff with the assistance of a business manager; and partner with the Quality organization to develop improvement plans for their respective area of responsibility based on quality analysis from the following sources:
Customer surveys
Backlog reports
Error and defect reports
Quality results
Vendor issues
Facilitate daily meetings to communicate team performance goals/results, share general corporate communication, and provide a forum for surfacing opportunities.
Assume accountability for ensuring individuals and the team meet their performance metric goals.
Identify and resolve trends/issues on a individual or team basis.
Use a balanced scorecard to manage the team's performance.
Provide regular performance reports to the Business Manager.
Ensure team supports/adheres to all improvement initiatives.
Conduct an informal mid-year and formal annual performance review.
Provide coaching, corrective and informal feedback to associates as needed.
Manage employees on quality results and develop improvement plans as needed.
Use the employee scorecard as appropriate during one-on-one meetings.
Challenges staff to develop professionally so they can serve as a resource to their coworkers.
Maintains high morale by inspiring reps through reward and recognition programs.
Guide employees' development through individual career development/planning sessions.
Coach employees to identify/develop career goals and provide developmental opportunities where appropriate.
Partner with T/QA team to identify skill development needs associated with:
Performance and ensure employees receive appropriate coaching and training/ensure employees demonstrate improvement
Career development opportunities and appropriate coaching/training to ensure employees needs are met
Partner with Business Manager to recruit/develop/manage a high caliber workforce with minimal turnover.
Identify high potential staff for succession planning.
Perform HR administrative duties.
Job Requirements:
Requirements:
Pre-Requisite Skills.
BS/BA degree or equivalent work experience.
Experience in team interactions and improvement methods/projects (e.g., coaching, quality, productivity).
Experience managing personnel desired, but not required.
Demonstrate leadership and facilitation skills.
Project management experience.
Medical claim processing (e.g., least, somewhat and most complex) experience.
Customer service experience (e.g., simple or complex) desired, but not required.
Working understanding of managed care and indemnity concepts desired, but not required.
A working understanding of United Health Group's processes, systems, and products.
Strong PC skills (e.g., Word, Excel).
Proven ability to provide superior customer service.
Knowledge of Human Resource policies and procedures desired, but not required.
Strong interpersonal skills at both and individual and team level.
Written/verbal communication skills.
Adaptable and able to move with change while maintaining a positive attitude.
Exemplary coaching/motivational skills at both an individual and team level.
Excellent business writing skills.
Business focus which demonstrates an understanding of the company's vision, mission and strategy.
Values diversity by fostering and showing appreciation for each individual regardless of his/her gender, race, age.
Promotes diversity within the team/organization.
Establishes and maintains positive customer relations with internal and external customers.
Strong problem solving and decision making skills.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
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