Coordination of Benefits – Supervisor

Coordination of.

Beneficios

- Supervisor At Claritev, we pride ourselves on being a dynamic team of innovative professionals

Our purpose is simple - we strive to bend the cost curve in healthcare for all.

Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations.

We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare.

Onward and Upward!!! Job Summary This role ensures timely, accurate processing of all aspects of the identification, investigation, and validation processes for Coordination of Benefits (COB) and related eligibility products.

The position monitors, prioritizes, and distributes work to assigned team(s).

The incumbent will facilitate quality processing of cases according to policy, procedures, and client service level agreements (SLAs).

This individual is responsible for identifying recoveries for assigned clients that meet or exceed forecasts and will partner with senior leadership to execute both short- and long-term production strategies.

Responsabilidades

Schedule and prioritize work, approve time off, conduct performance reviews, hire and train employees, and enforce production, quality, and customer service standards/SLAs Serve as the primary point of contact for offshore contractors, including hiring, work assignment, approving hours, coordinating training, and resolving vendor-related issues Partner with senior leadership to develop and implement policies, procedures, and strategies to improve departmental KPIs and performance metrics Apply expertise in COB rules, regulations, methodologies, and audit tactics to support efficient day-to-day operations Ensure compliance with CMS, NAIC, and state COB ...