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Job Description
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
On-site in Hartford, CT required
Claim Supervisor:
Responsible for the overall supervision of Claim Processing employees. Achieve superior service performance through an integrated process of operational, quality, medical cost and resource management tools and applications; Develop, train, evaluate and coach staff to provide cost effective claim review/processing and claim service while ensuring compliance and quality standards are met.
Manage and monitor daily inventory to ensure production standards are met and/or exceeded.
Allocate resources to meet volume and performance standards including Key Performance Metrics (KPMs) and Performance Guarantees.
Must have the ability to work collaboratively, communicate effectively with candor, identify risks early, and demonstrate strong organizational and leadership skills including staff development.
Identify and execute team process improvement.
Assess individual and team performance using all available tools/applications and provide timely results and candid feedback regularly and by using mid-year and annual scorecards.
Demonstrate the ability to be flexible and creative in a fast-paced, constantly changing environment.
Effectively apply and enforce Aetna/CVS HR policies and practices.
1+ Year prior work experience in a claim processing role.
~ Success in claim processing/service, leadership, oral and written communication skills, keeping commitments and meeting deadlines, and strong business knowledge. (Understanding of projecting work volumes and workload management preferred.
Prior experience working in a quality assurance and production capacity.
Associate's degree, or High School Diploma and equivalent work experience.
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
We anticipate the application window for this opening will close on: 03/22/2024.
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS).