Claims Customer Service Supervisor

$63,856 - $101,878/Yr

State of Utah

Full-time - Mid Level

Remote

Executive, Legislative, and Other General Government Support

About the position

The Claims and Customer Service Supervisor position at the Office of Medicaid Operations involves overseeing a team responsible for reviewing medical claims submitted to Medicaid. The role requires strong interpersonal skills, organizational abilities, and analytical problem-solving skills to ensure compliance with Medicaid policies and regulations. The supervisor will also provide guidance on claims adjudication and manage team dynamics effectively.

Responsibilities

• Supervise and manage a team by assigning and directing work, conducting evaluations, and providing staff training and development.
• Review large medical claim files to determine compliance with Medicaid program criteria based on policies, rules, and regulations.
• Provide policy and claims adjudication instructions to the Office of Medicaid Operations.
• Ensure claims are reviewed according to Utah Medicaid policy and Federal and State Rules and Regulations.
• Maintain composure in stressful situations and resolve conflicts effectively.

Requirements

• Exceptional interpersonal and customer service skills.
• Excellent organizational skills and attention to detail.
• Strong analytical and problem-solving skills.
• Ability to inspire and manage a team.
• Excellent conflict resolution skills.
• Exceptional time management skills.

Nice-to-haves

• Previous Medicaid claims experience.
• Previous supervisory experience.

Benefits

• Dental insurance
• On-site gym
• On-site fitness center
• Discounted UTA Eco Pass
• Teleworking opportunities
• On-site day care center