Posted in General Business 30+ days ago.
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Location: Phoenix, Arizona
About the Organization Avesis has been providing essential ancillary benefit solutions since 1978. Since its inception Avesis has developed, administered and refined its offerings to provide clients with best-in-class product choices and services. Today, our programs cover more than 8.5 million members throughout the country. We strive for excellence in all that we do and our benchmark performance in terms of member satisfaction and client retention underscores this singular focus.
The continued upward spiral in health care costs has challenged sponsors, providers and payers of health benefits to deliver high quality care in the most cost-effective manner possible. The Avesis benefits menu has been created to meet that challenge by making available quality essential ancillary benefit services at the lowest possible price while never sacrificing the highest quality of service. Providing outstanding customer service is a top priority, and our core values of accountability, empowerment, excellence, and integrity help us achieve high member and client satisfaction.
As of January 2016 Avesis is a wholly-owned, independent subsidiary of The Guardian Life Insurance Company, a distinction that brings even more capabilities to Avesis. The Guardian is a Fortune 250 mutual insurance company that has put its policyholders and clients above all else for more than 150 years, and it has earned them not only a great reputation but awards and accolades from such authorities as J.D. Power. Adhering to high standards, doing the right thing, and making people count are the founding principles that has kept Guardian financially sound and made them one of the largest insurance companies in the country.
In January 2017, Premier Access joined the Avesis family. Premier Access has focused on direct state contracts for Medicaid and Chip, specifically in California and Utah. They were one of the original participants in the Chip and Medicaid programs. Description Position Overview
This position is located in the Claims Department of Avesis' operations center in Phoenix, Arizona. The Claims Team Lead assists the Supervisor and Claims Manager with daily operations. Monitors and assists a designated group of claims processors and provides first line technical contact for any claims related issues associated with Vision, Dental and Hearing claims. Responsible for coordinating work-flow, leading efforts in error reduction, and support of team members with claim payment procedures. Provide general instruction related to claim adjudication. Applies the policies and procedures as required for complex benefit issues. Provides feedback to the supervisor, regarding claims issues, process improvement opportunities and any areas of concern. Demonstrates leadership ability by encouraging positive behavior and improving efficiency.
Essential Job Functions