Claims Supervisor - Winnipeg, Canada - People Corporation

People Corporation

Verified Company

Winnipeg, Canada

3 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

We are seeking a
Claims Supervisor to join our team in
Winnipeg.

Position Overview
Under the direction of the Director, Claims the Claims Supervisor provides leadership to the Claims Adjudication team, to ensure service is delivered with a high level of professionalism and exceptional claims experience to our customers

Key Responsibilities

Provide exceptional customer service to both internal and external stakeholders.
Ensure appropriate handling of customer complaints/escalations
Provide guidance and leadership to a team of Claims Adjudication and support Client Care Specialists where required
Coach and mentor team members, providing them with support on their daily work including continuous feedback on performance
Ensure that each team member is improving in quality, efficiency and knowledge where required
Conduct or contribute to employee development, and performance management through coaching and following up on the development of their technical competencies
Coordinate and supervise daily activities of claims team
Monitor workloads for each team member to ensure they are reasonable yet challenging
Ensure staff compliancy to corporate policies, procedures, and business plans
Provide direction to senior Claims Adjudication Specialists and Client Care Specialists on complex claim situations such as overpayment, adjustments, stop payments
Monitor workflow and set priorities to align with service levels
Ensure quality levels are being met and identify where training and or process opportunity improvements may exist
Provide feedback and recommendations on process improvements
Collaborate with Director on department procedure enhancements and communicate changes to the team
Set individual and team performance objectives and initiatives
Collaborate with Training department on training content and delivery
Coordinate with Training Department on the training of Claims Adjudication and Client Care Specialists
Develop a sound knowledge of all systems involved in Claims Adjudication and Client Care
Collaboration with other departments and outside partners as required
Approval of daily claims EFT and cheque payment

Competencies / Skill Sets

Leading and Developing Others
Sets clear direction and gives stepbystep guidance. Builds others' confidence, making them feel better equipped to do their jobs and encourages their voices to be heard in decision making. Recognizes employee development needs and provides ongoing feedback and coaching. Leads and guides people through prolonged periods of change.
Decision Making making good, timely decisions and solving problems involving varied levels of complexity, ambiguity, and risk. Thinking creatively, focusing on innovation consulting, and engaging others and reconciling competing interests. Acting with integrity in an honest and trustworthy manner based on personal accountability and a conviction to do the right thing.

Communication

Have excellent written and oral communication skills. Ability to communicate clearly, with purpose and adapts communication style appropriately to suit audience. Ability to communicate effectively and influence others to act in support of corporate goals and values. Encouraging and fostering positive team culture.
Problem Solving investigating issues, identifying, or developing options analyzing data of service delivery and provides solutions to problems.
Teamwork works effectively with others ensuring employees work cooperatively sharing best practices, breaking down departmental and other barriers, and communicating fully on new initiatives and priorities. Ability to build dynamic partnerships, understands and meets the needs of employees, customers, and strategic stakeholders.

Resilience

Able to function well in an environment where there are competing priorities, multiple stakeholders, and takes the initiative to enact solutions, while demonstrating good judgement, a sense of urgency and commitment to high standards of customer service, ethics, regulatory compliance, and business integrity.

Preferred Experience

Related postsecondary education and or 3+years of experience in a leadership position managing direct reports.
You have _5+_ years of experience in an insurance setting (Health and Dental group insurance experience preferred).
Demonstrated proficiency using MX Excel, Word and Outlook

At People Corporation we are committed to helping businesses succeed. We are a national provider of benefits, retirement, wealth, wellness, and human resource solutions. Our experts and solutions serve over 20,000 clients representing nearly 3 million Canadians. We offer customized solutions designed to fit the unique needs of businesses and their employees, members and stakeholders.