CareFirst Careers

Supervisor I

Resp & Qualifications

SUMMARY:
Creates and promotes a team environment for Customer Service Representatives and Enrollment & Billing Reps {& Claims Processors} that supports and facilitates the delivery of superior customer service to both internal and external clients.  This position contributes to the goals and objectives of the business unit through planning and representing the team’s needs and interests to other departments.

ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited to, the following:
Under the general direction of the Manager of Service or Enrollment & Billing {or Claims Processing}:

1. Coaches, counsels and motivates associates (concentrating on associate development) to increase quality and production while helping to achieve positive results.  Reviews daily audit results and adjustments to ensure quality and accurate claims payment.  Provides input and makes recommendations on hiring decisions and completes performance appraisals. 

2. Maintains current policies and operating procedures/conditions (including workflow management, performance management, forecasting, account reconciliation, inventory management and maintaining communications with other areas within the organization).

3.Develops logical and accurate reports to management regarding inventories, inquiries, correspondence, cases and other pertinent information in order to provide necessary information for management of workflow.  Provides assistance with product marketing and sales efforts of respective business units in order to increase market share.

4. Other projects and duties as assigned to assist in company, divisional, and/or departmental goals.

SUPERVISORY RESPONSIBILITY:  This position can supervise 10-20 Customer Service Reps, Claims Processor and/or Enrollment & Billing Reps as well as additional clerical staff.

QUALIFICATION REQUIREMENTS:
EXPERIENCE:
This position requires up to 3 years of supervisory experience.  Incumbent must have proficiency in the service, claims or enrollment & billing area. In lieu of supervisory experience in the health insurance industry or related field, position requires extensive experience (2 - 4+ years) with CareFirst systems.

SKILLS/ ABILITIES:
Must also have strong analytical and problem resolution skills, strong communication skills, interpersonal/leadership skills, and be able to motivate.  3+ years PC skills or related technical skills also required.

PREFERRED

  • Knowledge of the health insurance industry
  • CareFirst system specific experience
  • Bachelor’s Degree in Business Administration or similar field
  • Project management experience

Department

Department: FEP PROVIDER SERVICE UNIT

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Hire Range Disclaimer

Actual salary will be based on relevant job experience and work history.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Closing Date

Please apply before: 3/15/2019

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

Learn more about Customer Service & Claims