Supervisor Claims

2 weeks ago

Macquarie Park, Australia DXC Technology Full time

Essential Job Functions

  • Supervises claims program administration to ensure proper claims practices and procedures.
  • Supervises billing, claims and associated administrative activities to ensure compliance with laws, regulations, policies, agreements and contractual arrangements.
  • Assists in implementing procedures to adjust claims when original demographic, sponsor or charge information is in error; monitors and controls resubmission of denials, rejections and appeals.
  • Intercedes with third parties in unusual situations involving payment or adjustment of charges on accounts; consults with departments concerning services which affect collection of charges.
  • Assists examiners in investigating claims and assists and/or performs settlement negotiations. Supervises claim settlement processing.
  • Assumes supervisory responsibility for electronic and paper claims submissions; oversees analysis, correction and resubmission of registration and eligibility of edits and errors.
  • Recommends and/or initiates the selection and hiring of employees. Trains and evaluates employees to enhance their performance, development, and work product. Addresses performance issues and makes recommendations for personnel actions. Makes recommendations for salary increases, transfers and terminations to manager.
  • Researches coding and reimbursement requirements for compliance with local, state and federal regulations.

Basic Qualifications

  • Bachelor's degree or equivalent combination of education and experience
  • Bachelor's degree in business administration, insurance or related field preferred
  • Six or more years of claims experience
  • Two or more years of leadership experience
  • Experience working with proper claims handling, policies and procedures
  • Experience working with computer based analysis tools
  • Experience working with insurance and/or medical terminology

Other Qualifications

  • Organizational skills to balance and prioritize work
  • Analytical and problem solving skills
  • Communication skills
  • Human relations skills to select, develop, mentor, discipline and reward employees
  • Negotiation skills to interact with claimant
  • Ability to understand and convey applicable laws, regulations and practices regarding the insurance industry
  • Ability to work independently and lead group activities

Work Environment

  • Office environment

  • Roofing Supervisor

    4 weeks ago

    Wetherill Park, Australia CSG Talent Full time

    **The Company** CSG Talent have partnered with one of Australia's largest building products manufacturers to assist in their search for a Roofing Supervisor/Service Representative. This company have been established for close to 100 years and they have manufacturing facilities all over Australia. They are known in the industry for their excellent company...

  • Truck Bay Supervisor

    5 days ago

    Wetherill Park, Australia Cummins Full time

    **Supervisor - Workshop - $5000 sign on bonus** Our culture believes in _POWERING YOUR POTENTIAL_. We provide global opportunities to develop your career, make your community a better place and work with today’s most innovative thinkers to solve the world’s toughest problems. We believe in flexibility for you to explore your passions while making an...

  • Supervisor Health Management

    4 weeks ago

    Sydney Olympic Park, Australia NSW Government -NSW Rural Fire Service Full time

    **Supervisor Health Management** **This opportunity offers**: - Ongoing employment - Full time role & 35 hour working week - Attractive annual salary $122,491 - $134,981 p.a. plus 11% superannuation - Location: Sydney Olympic Park (hybrid/flexible working arrangements considered) An exciting opportunity to join the Health and Wellbeing team in the...

  • Truck Bay Supervisor

    2 weeks ago

    Wetherill Park, Australia Cummins Full time

    Supervisor - Workshop - $5000 sign on bonusOur culture believes in _POWERING YOUR POTENTIAL_. We provide global opportunities to develop your career, make your community a better place and work with today's most innovative thinkers to solve the world's toughest problems.We believe in flexibility for you to explore your passions while making an impact through...

  • Credit Officer

    4 weeks ago

    Horsley Park, Australia Alexander Appointments Full time

    Opportunity to work from home 1-2 days a week once fully trained - $40 per hour + Super | Monday to Friday - No Weekends - Horsley Park Location | On site parking **Credit Officer** - Opportunity to work from home 1-2 days a week once fully trained - $40 per hour + Super | Monday to Friday - No Weekends - Horsley Park Location | On site parking **About the...

  • Phase Leader

    1 month ago

    Carole Park, Australia Cummins Inc. Full time

    Description We are looking for a talented Shift Supervisor to join our team in Carole Park, QLD In this role, you will make an impact in the following ways: Delivering first-class service to our customers. Responsible for leading and mentoring a team of technicians and apprentices. Ensure your team achieves its KPI’s to deliver results....

  • Project Manager

    2 weeks ago

    Macquarie Park, Australia Siemens Energy Full time

    Project Manager About the Role Location Australia New South Wales Macquarie Park NSW Country/Region: Australia State/Province/County: Victoria City: Bayswater Company Siemens Energy Pty. Ltd. Organization Grid Technologies Business Unit Service Full / Part time Full-time Experience Level Experienced Professional A Snapshot of Your Day...

  • Technician - Electrical Field Service

    2 weeks ago

    Wetherill Park, Australia Cummins Inc. Full time

    Description Power Generation Field Service Technician – Electrician - $5000 sign on bonus We believe in flexibility for you to explore your passions while making an impact through meaningful work within our inclusive workforce. That's what #LifeAtCummins is all about. We are looking for a talented Technician - Electrical to join our Power...

  • HR Business Partner

    4 weeks ago

    Dudley Park, Australia Mexican Express - Mexex Full time

    We have a varied and rewarding opportunity for an experienced HR Generalist to join our team on-site within our Award winning Food Manufacturing facility. No 2 days are the same, and it will appeal to someone who is friendly, experienced in most areas of HR and enjoys learning. The role reports through to the Group People and Culture Manager who will...

  • HR Business Partner

    4 weeks ago

    Dudley Park, Australia Mexican Express - Mexex Full time

    We have a varied and rewarding opportunity for an experienced HR Generalist to join our team on-site within our Award winning Food Manufacturing facility. No 2 days are the same, and it will appeal to someone who is friendly, experienced in most areas of HR and enjoys learning. The role reports through to the Group People and Culture Manager who will...

  • Technician - Electrical

    3 months ago

    Wetherill Park, Australia Cummins Inc. Full time

    Description Power Generation Field Service Technician – Electrician - $5000 sign on bonus We believe in flexibility for you to explore your passions while making an impact through meaningful work within our inclusive workforce. That’s what #LifeAtCummins is all about. We are looking for a talented Technician - Electrical to join our Power...

  • Technician - Electrical Field Service

    4 weeks ago

    Wetherill Park, Australia Cummins Inc. Full time

    Description Power Generation Field Service Technician – Electrician - $5000 sign on bonus We believe in flexibility for you to explore your passions while making an impact through meaningful work within our inclusive workforce. That’s what #LifeAtCummins is all about. We are looking for a talented Technician - Electrical to join our Power...

  • Junior/graduate Project Coordinator

    3 months ago

    Condell Park, Australia AAG Infrastructure Full time

    **_AAG Infrastructure_**: - is a leading civil construction company based in South-West Sydney. Due to Company growth, we are _seeking a **Full-time** **Graduate/Junior Project Coordinator** to join our growing company. You will be responsible for several administrative tasks and team support within our project. **Long-term Civil Infrastructure career...

  • Phase Leader

    3 weeks ago

    Carole Park, Australia Cummins Full time

    We are looking for a talented Shift Supervisor to join our team in Carole Park, QLD **In this role, you will make an impact in the following ways**: - Delivering first-class service to our customers.- Responsible for leading and mentoring a team of technicians and apprentices.- Ensure your team achieves its KPI’s to deliver results.- Liaise with internal...

  • Service Advisor

    3 weeks ago

    Wetherill Park, Australia Cummins Full time

    **Service Advisor - Wetherill Park** Our culture believes in _POWERING YOUR POTENTIAL_. We provide global opportunities to develop your career, make your community a better place and work with today’s most innovative thinkers to solve the world’s toughest problems. We believe in flexibility, so you can explore your passions while making an impact...

  • HR Business Partner

    2 weeks ago

    Dudley Park, Australia Mexican Express - Mexex Full time

    We have a varied and rewarding opportunity for an experienced HR Generalist to join our team on-site within our Award winning Food Manufacturing facility. No 2 days are the same, and it will appeal to someone who is friendly, experienced in most areas of HR and enjoys learning.The role reports through to the Group People and Culture Manager who will provide...

  • Project Coordinator

    2 months ago

    Condell Park, Australia AAG Infrastructure Full time

    **About AAG Infrastructure**: AAG Infrastructure is a prominent civil construction company based in South-West Sydney, with a strong reputation in the Utilities sector. With continued growth, we are currently expanding our team and seeking a dynamic Full-time Project Coordinator to join us. Graduates are encouraged to apply. **Position**: Project...

  • Phase Leader

    4 weeks ago

    Carole Park, Australia Cummins Inc. Full time

    **Phase Leader - MRC** **Description** Our culture believes in _POWERING YOUR POTENTIAL_. We provide global opportunities to develop your career, make your community a better place and work with today’s most innovative thinkers to solve the world’s toughest problems. We believe in flexibility for you to explore your passions while making an impact...

  • Phase Leader

    3 weeks ago

    Carole Park, Australia Cummins Inc. Full time

    **Phase Leader - MRC** **Description** Our culture believes in _POWERING YOUR POTENTIAL_. We provide global opportunities to develop your career, make your community a better place and work with today’s most innovative thinkers to solve the world’s toughest problems. We believe in flexibility for you to explore your passions while making an impact...

  • Data Entry/customer Service

    5 days ago

    Horsley Park, Australia Alexander Appointments Full time

    $34 per hour + Super | Mon-Fri Full - Time hours - Horsley Park Location | 1 - 2 days WFH - ASAP Start | 10am - 6pm **Data Entry/Customer Service** - **$34 per hour + Super |Mon - Fri Full-Time hours**: - **Horsley Park Location | 1 - 2 days WFH**: - **ASAP Start | 10am - 6pm** **The company** We have a fantastic opening to join a Global Leader within...