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APWU HEALTH PLAN Claims Supervisor in Glen Burnie, Maryland

[The APWU Health Plan, a non-profit organization located in Glen Burnie, MD, is seeking an Enrollment Supervisor to join our Claims Department.

[The Claims Supervisor is responsible for managing the claims inventory, and resources through timely and accurate processing of higher level claims and to manage the processing of claims adjustments through the correction of processing error and handling overpayments or underpayments.

[Primary Accountabilities[:]{cambria",serif"=""}]{cambria",serif"=""}]{cambria",serif"=""}]{cambria",serif"=""}

  • Meet given objectives to cycle time, QA and productivity.
  • Operate within the unit administrative budget.
  • Manage unit workflow and inventory.
  • Manage reporting of daily/monthly - Adhoc of the unit
  • Update standards and write/update unit procedures on a timely basis.
  • Administer Plan personnel policies/CBA accurately and equitably.
  • Complete assignments in a timely manner.
  • Initiate IT tickets for system issues.
  • Respond to other departments inquiries timely
  • Train staff as needed.
  • Other duties as assigned.

[Qualifications[:]{cambria",serif"=""}]{cambria",serif"=""}

  • AA degree (or commensurate experience) preferred.
  • Minimum of 3 years claims experience.
  • Minimum of 3 years of experience in a supervisory position.
  • Must have QNXT processing experience
  • Decision-making and problem-solving skills.
  • Ability to prioritize, organize tasks and develop the necessary action plans to accomplish specific goals within required deadlines.
  • Motivational/leadership skills.
  • Good verbal and written communication skills.
  • Self-motivated and ability to take initiative.

[We offer a competitive salary; health, dental, and vision insurance; 401(k); generous vacation leave; and tuition reimbursement. Please ensure all of the above requirements are clearly reflected in your resume or specifically addressed in your cover letter. Stated salary requirements (range is acceptable) are required for consideration. Experience in a Union environment preferred. No relocation assistance available. Must pass criminal records check and drug screening prior to employment. Please a ]{cambria",serif"=""}

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