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CareFirst BlueCross BlueShield · 1 day ago

Operations Supervisor (Remote)

United States

Full-time

Remote

Mid Level

$63K/yr - $130K/yr

3+ years exp

CareFirst BlueCross BlueShield is a health insurance provider seeking an Operations Supervisor to lead a multi-functional team. The role involves supervising employee performance, maintaining operational standards, and resolving complex service issues in areas such as client support and claims processing.

Health CareNon ProfitService Industry

No H1B

Responsibilities

Supervise employee outcomes by training, assigning, scheduling, coaching, and counseling employees; communicating job expectations; planning, monitoring, and appraising job contributions; adhering to policies and procedures

Meets operational standards by contributing information to strategic plans and reviews; implementing production, productivity, quality, and customer-service; resolving problems; identifying system improvements

Maintains customer service objectives by monitoring daily operations; resolving claims that require manual review or technical support, enrollment or billing related customer issues. Consistently reviews systems and makes necessary adjustments where needed, including resources/staffing. Researches and resolves escalated calls, review and resolve complex claims that have not been resolved by Claims staff

Maintains and improves departmental operations by monitoring system performance; identifying and resolving operations problems; supervising process improvement and quality assurance programs; installing upgrades

Prepares call center, claims and or enrollment and billing performance reports by collecting, analyzing, and summarizing data and trends

Improves call center, claims and or enrollment and billing job knowledge by attending educational workshops

Qualification

Call center operationsClaims processingEnrollmentBillingLeadership skillsMicrosoft Office proficiencySupervisory skillsPresentation skillsCommunication skills

Required

High School Diploma or GED

3 years related professional experience with demonstrated leadership skills

Must have proficiency in the service, claims or enrollment & billing area

Knowledge of call center operations, claims, and/or enrollment and billing and workflows

Strong presentation skills

Highly proficient in Microsoft Office programs

Excellent communication skills both written and verbal

Ability to plan, review, supervise, and inspect the work of others

Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence

Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging

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