Claims Supervisor - Management Ancillary Support (CMAS)
Centivo(2 months ago)
About this role
The Claims Supervisor in Management Ancillary Support (CMAS) at Centivo is responsible for overseeing the claims processing operations, including adjudication, appeals, and quality assurance for employer-sponsored health plans. This role includes managing a team, establishing productivity and quality benchmarks, developing policies and procedures, and collaborating with internal and external partners to streamline processes and resolve issues effectively. The Supervisor will also analyze claims data to identify trends, mentor staff in claims handling best practices, and report on performance metrics to department leaders, all while ensuring compliance with benefit plan standards.
Required Skills
- Claims Adjudication
- Appeals Management
- Team Management
- Quality Standards
- Productivity Benchmarks
- Continuous Improvement
- Benefit Administration
- Claims Processing
- Problem Solving
- Data Analysis
+16 more
Qualifications
- High School diploma or GED required
- Bachelor’s degree or equivalent work experience
- 5 years or more experience with healthcare claims administration, self-funded preferred
About Centivo
centivo.comCentivo is an innovative health plan designed specifically for self-funded employers, emphasizing the belief that everyone deserves quality healthcare at an affordable price. Founded with a focus on primary care, Centivo aims to provide plans that eliminate deductibles, offer free primary care, and maintain low, predictable copays for members. By centering care around established primary care relationships, the company strives to improve health outcomes while lowering overall medical costs. It serves employers, members, advisors, and providers, aiming to create a seamless and beneficial healthcare experience.