DescriptionJob Summary
The Quality Claims Supervisor investigates quality claims and disputes and plays a critical role in ensuring that issues are resolved fairly and efficiently. The role involves examining claims and disputes to determine their validity gather evidence and resolve issues in a fair and impartial manner. This process often requires strong analytical skills attention to detail and effective communication. In this role you will be leading a small team and reporting to the Interpretation Manager.
Duties and Responsibilities
- Lead and manage the investigation process for complex claims and disputes.
- Develop and implement strategies for effective claims resolution.
- Coordinate with various departments to gather necessary information and evidence.
- Analyze data and documentation to identify patterns or underlying issues.
- Prepare comprehensive reports and recommendations for resolution.
- Communicate findings and decisions to stakeholders including clients and interpreters.
- Ensure compliance with agency policies and legal regulations.
- Provide training and support to team members involved in the claims process.
- Continuously review and improve investigation procedures to enhance efficiency and effectiveness.
RequirementsSkills and Qualifications
- Minimum of two (2) years of experience in claims investigation dispute resolution or a similar role.
- Excellent analytical and problem-solving abilities: ability to assess complex situations and evidence critically and developing fair and practical solutions to resolve disputes.
- Exceptional communication and interpersonal skills.
- Ability to handle sensitive and confidential information with discretion.
- Familiarity with interpreting services and related industry standards is a plus.
- Impartiality: Maintaining objectivity and fairness throughout the investigation.
Benefits - Medical Dental and Vision Insurance
- 401(k) with company match
- Generous PTO and paid holidays
- Professional development opportunities
- Employee assistance program
- Company-sponsored events and activities
- Hybrid Work Environment
- One week in office per month
- Pay Range: $25-28/hour
Required Experience:
Manager