Claims Intake Manager

Summary

Join Oscar's Claims Production team as a Manager, Claims Intake! You'll lead a team responsible for timely and accurate claims processing, ensuring a positive member experience. This role involves overseeing claim submissions, managing team performance, and implementing best practices. You'll report to the Associate Director, Claims Production. The position offers a blended work culture with remote options, depending on location. Competitive salary and comprehensive benefits are included.

Requirements

• Bachelor's degree or 4 years of commensurate experience
• 4+ years of experience leading, coaching and developing direct reports in a healthcare claims production environment
• 3+ years of experience with using data and metrics to problem solve and drive root cause analysis

Responsibilities

• Accurately ensure all claims, medical records, dispute or other correspondence received are submitted and matched appropriately into claims system and ensuring that all corresponding documentation is properly saved to member files
• Oversee and coordinate submission of claims
• Ensure correct supporting documentation to each claim as well as accuracy and completeness of work
• Learn and effectively use proprietary software programs essential for the job
• Ensure team meets daily, monthly and annual production goals and performance objectives for both quality and productivity
• Creating, tracking, and implementing best practices for Production Management to improve overall member experience through daily queue management and production tracking
• Utilize frameworks to intentionally develop and coach your team in order to build future leaders within the organization
• Take a proactive, forward-thinking and data-driven approach to identify concerns, inefficiencies, and operational improvement initiatives throughout the Claims space that drive desired cultural and operational outcomes
• Compliance with all applicable laws and regulations
• Other duties as assigned

Preferred Qualifications

• Proficiency in Microsoft Office Suite
• Process Improvement or Lean Six Sigma training, certification
• Experience as a leader in a remote environment
• Experience in BPO or Call Center environments

Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements
• Annual performance bonuses
• Oscar’s unlimited vacation program