Note: The job is a remote job and is open to candidates in USA. CareFirst BlueCross BlueShield is seeking an Operations Supervisor to oversee a multi-functional team. The role involves supervising employee performance, ensuring operational standards, and maintaining customer service objectives.

Responsibilities

• Supervise employee outcomes by training, assigning, scheduling, coaching, and counseling employees; communicating job expectations; planning, monitoring, and appraising job contributions; adhering to policies and procedures
• Meets operational standards by contributing information to strategic plans and reviews; implementing production, productivity, quality, and customer-service; resolving problems; identifying system improvements
• Maintains customer service objectives by monitoring daily operations; resolving claims that require manual review or technical support, enrollment or billing related customer issues. Consistently reviews systems and makes necessary adjustments where needed, including resources/staffing. Researches and resolves escalated calls, review and resolve complex claims that have not been resolved by Claims staff
• Maintains and improves departmental operations by monitoring system performance; identifying and resolving operations problems; supervising process improvement and quality assurance programs; installing upgrades
• Prepares call center, claims and or enrollment and billing performance reports by collecting, analyzing, and summarizing data and trends
• Improves call center, claims and or enrollment and billing job knowledge by attending educational workshops

Skills

• High School Diploma or GED
• 3 years related professional experience with demonstrated leadership skills
• Must have proficiency in the service, claims or enrollment & billing area
• Knowledge of call center operations, claims and/or enrollment and billing and work flows
• Strong presentation skills
• Highly proficient in Microsoft Office programs
• Excellent communication skills both written and verbal
• Ability to plan, review, supervise, and inspect the work of others
• Bachelor's Degree

Benefits

• CareFirst offers a comprehensive benefits package
• Various incentive programs/plans
• 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements)

Company Overview