Claims Supervisor - Management Ancillary Support

Oversee and manage claim processing functions for insurance policies.

• •Centivo is seeking a Claims Supervisor in Management Ancillary Services (CMAS).
• •The Supervisor will be responsible for the oversight and management of the claim processing functions related to claims adjudication, appeals, escalations, quality, and recovery.
• •Key Responsibilities Ensures that claims, appeals, and adjustments are processed and paid in accordance with benefit plans, pricing agreements, and required authorizations Manages the inventory of claims against standard service level agreements (SLA’s) Educates and mentors claims staff to ensure proper application of client benefit plans to claims processed, at the required quality and production metrics Requirements Thorough understanding of insurance policies, claims handling processes, and legal requirements associated with claims.
• •Strong leadership and team management skills, with the ability to effectively manage and motivate a team.
• •Previous experience in claims processing or a related field, including supervisory experience.