drjobs Exceptions Supervisor

Exceptions Supervisor

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1 Vacancy
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Job Location drjobs

Charleston - USA

Monthly Salary drjobs

$ 46000 - 62100

Vacancy

1 Vacancy

Job Description

Are you passionate about making a difference in peoples lives Do you enjoy working in a service-oriented industry If so this opportunity may be the right fit for you!

Modivcare is looking for an experienced Exceptions Supervisor to join our this role you will provide guidance and oversight for the exception process related to transportation service requests. You will play a key role in coordinating team assignments ensuring data accuracy and supporting resolution efforts that align with company policies and service guidelines.

This role

  • Acts as a resource for all exception process-related questions.

  • Coordinates and monitors the daily assignments and work quality of exception team members.

  • Tracks trends and audits exception-related activity to ensure compliance and efficiency.

  • Ensures accurate trip data input and issue resolution in accordance with service guidelines.

  • Assists with research and resolution of benefit utilization issues urgent trip requests pre-authorization denials eligibility mileage validation meals and lodging and service level concerns.

  • Supports and provides recommendations on the reservation denial and appeal process.

  • Processes requests received via fax email mail and web (both inbound and outbound).

  • Oversees department phone activity ensuring quality and efficiency of communications.

  • Assists in utilization investigations and identifies potential billing or usage trends that may indicate abuse.

  • Reports suspected abuse or fraud to management and escalates member dissatisfaction when appropriate.

  • Provides outreach and support to medical facilities regarding transportation processes and member education.

  • May lead projects and perform other duties as assigned.

  • Occasional business travel may be required.

We are interested in speaking with individuals with the following

  • Bachelors Degree required.

  • Four (4) plus years of relevant experience.

  • Up to one (1) year of leadership responsibility.

  • Or equivalent combination of education and/or experience.

  • Demonstrated ability to lead and positively influence a team.

  • Excellent customer service and interpersonal skills.

  • Ability to work independently and as part of a team.

  • Strong problem-solving and decision-making abilities.

  • Comfortable presenting information to groups in a clear and engaging manner.

  • Proficiency in Microsoft Office Suite including Word Excel PowerPoint and Outlook.

  • Strong aptitude for quickly learning new systems technologies and workflows.

  • Ability to understand and follow complex instructions.

  • Fluent in reading writing and speaking English.

Salary: $46000.00 - $62100.00

Bonus eligible based on individual and company performance.

Modivcares positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role the number of roles and the number of applications received. We encourage our prospective candidatesto submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities andencourage prospective candidates to check back often for new postings.


We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

  • Medical Dental and Vision insurance
  • Employer Paid Basic Life Insurance and AD&D
  • Voluntary Life Insurance (Employee/Spouse/Child)
  • Health Care and Dependent Care Flexible Spending Accounts
  • Pre-Tax and Post --Tax Commuter and Parking Benefits
  • 401(k) Retirement Savings Plan with Company Match
  • Paid Time Off
  • Paid Parental Leave
  • Short-Term and Long-Term Disability
  • Tuition Reimbursement
  • Employee Discounts (retail hotel food restaurants car rental and much more!)

Modivcare is an Equal Opportunity Employer.


Required Experience:

Manager

Employment Type

Full-Time

About Company

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