Claims Supervisor - West Sacramento, CA - Hybrid

Summary

As a Claims Supervisor at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Gainwell empowers you to help clients deliver better health and human services outcomes using innovative technology and solutions, enabling you to design your career for growth, new possibilities, and refinement of your valuable skills. Here are the details on this position.

Your role in our mission

• Leads and evaluates a team to ensure exceptional customer service, alignment with business strategy and timely and successful delivery of our services and solutions according to customer expectations, participating in hiring and training of staff, providing coaching and assistance on an ongoing basis, managing performance, and taking corrective action as needed.
• Educates, communicates, and coaches staff on processes, best practice, goals, and expectations, providing regular and ongoing feedback.
• Assists manager with day-to-day operations and maintains an understanding of the healthcare provider community.
• Provides feedback and prepares required reporting to identify trends, establish team goals and expectations, improve processes, ensure resources are properly allocated, and maximize efficiency and customer satisfaction.
• Interacts with the customer and providers and contributes to the resolution of problems and disputes in a professional manner, handling escalated issues as applicable, escalating when necessary and following through to resolution.

What we're looking for

• A minimum of three (3) years of experience in claims processing required; two (2) years of experience in leading people in a customer service team required.
• Have experience in the healthcare industry in provider, insurance, operations, or administration, with Medicaid and/or Medicare knowledge and experience strongly desired.
• Strong leadership skills, ability to motivate employees, strong verbal and written communication and presentation skills; exceptional interpersonal, customer service, problem-solving, and conflict resolution skills.
• Attention to detail and strong organization skills.
• Ability to multi-task and prioritize tasks related to project timelines to meet schedules, client deadlines, and delivery deadlines.

What you should expect in this role

• Must be a resident of the state of California.
• This is a hybrid work environment.
• Ability to supervisor hybrid team.
• The office is located in the West Sacramento area.

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