Claims Processing Supervisor Salary in Idaho

Claims Processing Supervisor - Healthcare - Average Salary $69,399

Supervises the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures the accurate and timely disposition of claims and resolves matters according to coverage amounts and company procedures. Provides guidance to staff on more complex or high-value claims. Reviews and resolves escalated issues. Requires a high school diploma. Typically reports to a manager. Supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision.

Claims Processing Clerk II - Healthcare - Average Salary $41,668

Receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Produces routine and ad hoc reports. Requires a high school diploma. Typically reports to a supervisor. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience.

Claims Processing Clerk I - Healthcare - Average Salary $36,855

Receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Produces routine and ad hoc reports. Requires a high school diploma. Typically reports to a supervisor. Works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience.

Claims Processing Clerk III - Healthcare - Average Salary $46,802

Receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Produces routine and ad hoc reports. Requires a high school diploma. Typically reports to a supervisor. Works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Typically requires 3-5 years of related experience.

Claims Supervisor II - Average Salary $89,175

Supervises most activities in the claims department. Leads the examination of personal and property and casualty insurance claims based on policy provisions, appraisal, and verifiable damage. Interacts with claimants and oversees the review of records and documentation to ascertain insurance coverage. Supervises settlement negotiations within authorized limits and escalates claims exceeding authorization. May be responsible for reviewing and processing highly complex or high-value claims. May assist in training Property and Casualty Claims Examiners and Adjusters. May require a bachelor's degree. Typically reports to a manager or head of a unit/department. Supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. Typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes.