ILSP Claims Supervisor Madison

ILSP Claims Supervisor Job description About the Company: AssuranceSD is a mission-driven organization that offers administrative services to empower individuals to take control of their personal care services.
Our mission is to help strengthen communities through enabling individuals to elect and manage their own care programs, including how, when, where and who delivers these services.
This helps care recipients retain their dignity during what are often challenging times and ensures they receive the most appropriate services for their specific situation.
By facilitating self-directed home and community-based services, AssuranceSD significantly enhances the quality of home care available to aging seniors and individuals with special needs.
General Responsibilities: The Claims Supervisor is responsible for processing and auditing vendor claims to ensure accurate and timely processing.
A Claims Supervisoris able to use payroll software with accuracy and efficiency.
The Claims Supervisor must have strong analytical and critical-thinking skills to review and authorize claim payment and investigate unusual claims with strong attention to detail.
Claims Supervisor have great communication skills to interact with customers and colleagues.
Dedication to maintaining high levels of accuracy and efficiency will directly contribute to ASD's mission of providing exceptional service to our customers and providers.
The goal is to ensure personnel receive the correct compensation in a timely manner.
AssuranceSD Benefit Package Includes: Competitive Pay Health insurance with Company Contributions HSA Holiday Pay Paid time off.
Dental insurance Vision insurance 401(k) with Company match Life insurance Long- and Short-Term Disability insurance Parental leave FMLA Essential Duties and Responsibilities: Analyze and investigate vendor claims to help prevent fraud.
Resolve claims in a timely manner through customer service calls and communications.
Administer statements of payment to personnel electronically.
Research and problem solving.
Audit claims process via quality control tests, random inspections, and writing reports documenting process issues.
Maintain a filing system to securely retain all records and supporting reporting.
Prepare and execute pay orders and administer statements of payment electronically.
Maintain accurate records of payees, payments, and budgets for reporting purposes.
AssuranceSD ILSP Claims Supervisor Prepare and execute pay orders through an electronic system or distribute payments.
Administer statements of payment to personnel either electronically or on paper Prepare reports for upper management, finance department etc.
Performs other duties as assigned or needed.
Who You Are: Extensive knowledge of claims processing procedures, regulations, and best practices.
5+ years of claims processing experience required.
Ability to effectively use computer software including Microsoft Outlook, Word, Excel; experience with fiscal management service software is a plus.
Excellent organizational skills and attention to detail.
Analytical mindset with the ability to use data to identify trends, make informed decisions, and drive process improvements.
Experience managing large, complex operational projects requiring critical thinking and advanced problem-solving to handle ambiguity; operational experience launching a new governmental program is a plus.
Strong supervisory and leadership skills required with significant experience managing large and complex teams Degree in Accounting, Finance, Business, or related field strongly preferred.
Equal Employer Opportunity Statement We are an equal opportunity workplace, committed to equal employment opportunity regardless of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, genetic information, veteran status, gender identity or expression, sexual orientation, or any other characteristic protected by applicable federal, state or local law.
We are committed to diversity, equity and inclusion, both in our hiring practices and in our experiences as a AssuranceSD employee.
We strive to create a mindful and respectful environment where everyone can bring their authentic self to work, and experience a culture that is free of harassment, racism, and discrimination.
Disclaimer: This job description indicates the general work necessary to adequately execute core job responsibilities.
It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.