Bedford, TX Positions Available
Our Bedford, TX client has two new positions: Quality Analyst Auditor and New Business Supervisor. If you are ready for a new challenge and meet the qualifications below, please click on the job title to apply now!
Quality Analyst Auditor: The primary responsibility of this position is to audit the accuracy of the work performed in the Claims Phone Unit. Answer incoming telephone calls and communicate with clients, agents and providers on benefits, status of claim and policies as needed. Assist clients with claim problems. Explain, in depth, how benefits are calculated and claims processed. Handle special projects such as Maximum Benefit Audits, Autopay direction or 50-Day Report status. This position would serve as a liaison between the In-Take Nurse, Care Coordinators and Benefit Specialists. The Quality Analyst would handle any training issues that might come up as a result of the telephone call. The Quality Analyst would assist the management in coordinating telephone coverage during peak times and lunch periods to insure that telephone coverage remains adequate at all times. The most significant function of this position would to provide an actual presence within the telephone unit to assist the other Benefit Specialists with difficult calls, training and distributing the calls for the Nurse Care Advisors. Proficiency in this position will require a comprehensive knowledge of the Claims Department procedures, the company products, and systems.
PRINCIPAL DUTIES AND RESPONSIBILITIES: * Audit quality of all the work in the Claims Phone Unit through the use Of imaging workflow, documentation and telephone tapes. * Maintain performance standards documentation on employees audited In order to provide feedback to the employee's audited. * Assist with individualized department training. * Provide assistance to Management as required including acting as backup for the supervisor in her absence, handling difficult calls and managing special projects assigned. * Answer, service and document calls pertaining to policy benefit and Determine whether a call needs to be referred to an In-Take Nurse, Care Coordinator or Manager.
Qualifications
Knowledge, skills and abilities normally required for competent performance in the job. * Ability to communicate clearly and effectively verbally and in writing * Ability to handle customers in a calm, professional, friendly and patient manner * Excellent organizational skills and ability to maintain multi-tasking over an extended Period of time * Attention to detail * Ability to motivate and encourage co-workers * In-depth knowledge to all Company products and state specific regulations Typical background and experience required for competent performance in this job. * High School diploma required * Minimum of 2 years claims experience or Long Term Care background * Minimum of 2 years of strong customer service background * Knowledge of medical terminology * Strong letter writing background * Customer Service courses or Specialized Training required
New Business Supervisor: The Policy Issue Supervisor will oversee the operations of the Policy Issue unit making sure they meet their organizational objectives and responsibilities. This unit will have a lot of vertical integration in the entire New Business Process; they will interact with the New Business, Underwriting, Premium Accounting, Agent Administration and other Customer Service Units. This Supervisor will report under the Customer Service area because their primary functions are Customer Service and issuing the complete and correct Policy form. The Issue Unit will have daily interaction with consumers and agents. They will need to focus on delivering accurate and timely information while providing great service. The Supervisor may work with internal Marketing staff as well as external marketing staff in resolving issues and communicating status information. The Supervisor will need to be resourceful and responsive to the needs of customers while following Department and Division policies and procedures. The Supervisor will have daily responsibilities that include ensuring proper staffing is maintained, follow up of escalated or direct Consumer and Agent calls. The Supervisor will be responsible for the monitoring of staff performance. Typical duties will include quality review of phone calls, providing detailed feedback to employees and addressing performance issues. The Supervisor will write the annual Performance Appraisal of the staff and deliver the approved appraisal during the process.
PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Monitor employee performance, review daily production, observe phone calls and prepare reports. 2. Communicate with Customers, Agents and other staff/management regarding policy issues. 3. Coach and mentor staff in the areas they need development. 4. Implement new changes and procedures based on Division or Management direction. 5. Complete employee attendance records, performance reviews, and personnel issues. 6. Coordinate internal procedures along with other departments. 7. Special projects as assigned.
Qualifications
Knowledge, skills and abilities normally required for competent performance in the job. * Ability to communicate clearly and effectively with upper-management and staff using strong interpersonal and verbal skills. * Excellent organizational skills. * Leadership abilities. * Detail oriented with strong analytical skills. * Demonstrated ability to implement administrative policies at a procedural level, documenting procedures and training staff. * Demonstrated ability to manage staff and projects. * Working Knowledge of Windows, Microsoft Word, and Excel or similar software. * Technical aptitude and an ability to learn new systems as demonstrated with mastery of business applications in a production environment. * Excellent oral and written communication skills. * Familiarity with Insurance products and Insurance administration. * Customer Service knowledge and experience in a Supervisory role. Typical background and experience required for competent performance in this job. * Two years of college preferably in a Business area or equivalent work experience required * Two to three years of insurance industry experience is preferred. * Agent and customer service experience is required. * Two years supervisory experience or three to five years experience in application processing or related experience. * Familiarity with Insurance Administration and image based workflow preferred.
Please visit us on the web at www.frontlinesourcegroup.com
Equal Opportunity Employer, M/F/V/D. Candidates must have authorization to work in the U.S. Clients will not sponsor visas.
Frontline Source Group is one of the fastest growing Information Technology, Accounting, Legal, Human Resource, Administrative and Clerical staffing and direct hire firms with offices in Austin Dallas Ft Worth and Houston Texas.
Frontline specializes in matching top talent with companies for direct, contract and contract-to-hire placements. We work with clients and candidates in all areas of North America and Canada.
posted by Frontline Source Group @ 4:05 PM
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