Job Closed

This listing is no longer active.

Operations Support Services Specialist

Location

Tennessee

Posted

60 days ago

Salary

$40.5K - $50K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Operations Support Services Specialist

Sedgwick

• To support Operations Support Services leadership relating to all aspects of quality assurance • Ensure service level agreements are maintained • Research and resolve complex technical issues • Manage and create escalation procedures • Track and monitor issues ensuring a timely resolution • Perform monthly quality and technical audits • Provides leadership, direction, and support to a team of OSS colleagues • Assigns and monitors workload for OSS colleagues; coordinates project volume and assignments • Ensures that processes and procedures are adhered to and that department objectives and Service Level Agreements (SLAs) are met • Assists leadership to establish departmental procedures, standards, and metrics • Supports OSS Coordinators and OSS Associates by providing advice on handling complex issues • Tracks non-compliance issues and monitors through to resolution • Acts as quality assurance by identifying, researching, resolving and responding to technical and non-technical issues or questions • Communicates high visibility issues to immediate supervisor • Maintains high level of knowledge of applicable claim systems, processes, and procedures to assist in a resolution to customer issues • Escalates calls to the appropriate departments as needed • Provides status and follow-up information to customers as needed • Reviews quality data, conducts audits, tracks quality metrics and reports findings to appropriate management • Conducts training for OSS Coordinators and OSS Associates • Monitors incoming calls and emails to ensure issues are addressed and resolved in a timely manner • Assists leadership to identify and implement process improvement initiatives • Assists in interviews of Coordinators and Associates and provides feedback to hiring manager

Job Requirements

  • Bachelor's degree from an accredited college or university preferred
  • Three (3) years claims management experience or equivalent combination of experience and education required
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Leadership/management/motivational skills
  • Analytical and interpretive skills
  • Strong organizational skills
  • Excellent negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

Benefits

  • Career development and promotional growth opportunities
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more

Related Categories

Related Job Pages

More Operations Jobs

Full TimeRemoteTeam 1,001-5,000H1B Sponsor

• Directs, supervises, and coordinates the daily activities of a team with the Patient Access Center • Manages the coordination of patient appointments and assessments • Assures service excellence of Access Center operations to patients, physicians, and internal customers

Alabama + 5 moreAll locations: Alabama | Florida | Maryland | Pennsylvania | Tennessee | Texas
$47.7K - $71.5K / year
Job Closed
Transreport logo

Service Desk Manager

Transreport

Democratising public transport through B2B and B2C technology solutions, making travel more inclusive for all.

Operations60 days ago
Full TimeRemoteTeam 51-200Since 2015H1B No Sponsor

• Own and manage the day-to-day operation of the Service Desk • Have oversight of all incoming cases, ensuring timely triage, prioritisation, and resolution • Act as the escalation point for complex or high-impact issues • Take ownership of second-line and above support cases • Ensure that SLAs are consistently met • Lead incident response for major or high-severity issues • Coordinate internal teams during incidents and provide clear client communication • Drive root cause analysis and ensure preventative measures are implemented • Develop deep expertise across Transreport’s product suite • Act as the bridge between product and support teams • Translate technical changes into clear support guidance and client-facing communications • Feed customer insights back into product development • Design, implement, and continuously improve support processes • Create and maintain internal knowledge bases and client-facing documentation • Develop training materials to support onboarding and ongoing enablement • Use AI tools to streamline processes and support efficient case resolution • Act as the face of the Service Desk for key clients • Build strong relationships with client service management teams • Monitor KPIs such as SLAs, response times, and resolution rates • Identify trends and drive continuous improvement initiatives • Own and manage client service meetings

United Kingdom
Job Closed
CLEAResult logo

Senior Operations Analyst

CLEAResult

We change the way people use energy.™

Operations60 days ago
Full TimeRemoteTeam 1,001-5,000Since 2003H1B Sponsor

• Support program delivery through management, validation, and analysis of program data across multiple systems and stakeholders • Develop, maintain, and enhance reporting tools and dashboards (including Power BI) to support program tracking, invoicing, and performance reporting • Coordinate data integration efforts between internal platforms, client systems, and subcontractor tools, ensuring accurate and timely data exchange • Partner with internal and external IT teams to support system integrations, including testing, troubleshooting, issue resolution, and ongoing maintenance • Assist in defining data requirements, mapping logic, and validation processes to ensure high data quality and alignment with reporting expectations • Support invoicing and reporting processes by ensuring data completeness, accuracy, and compliance with contractual requirements • Monitor program performance metrics and provide insights to support program management and decision-making • Contribute to process improvements, workflow optimization, and standardization across program operations • Coordinate across cross-functional teams (program, finance, IT, subcontractors) to support program execution and issue resolution • Support ad hoc analysis, reporting requests, and program operational needs as they arise

Pennsylvania
$80K - $90K / year
Job Closed
DaVita Kidney Care logo

Revenue Specialist I

DaVita Kidney Care

This position will be open for a minimum of three days. The Salary Range for the role is $85,000.00 - $135,000.00 per year. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year. New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hour. Washington Exempt: $80,168.40/year. Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.71/hour, Everett: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Operations60 days ago
Full TimeRemoteTeam 10,001+Since 1994H1B No Sponsor

• Perform duties for revenue operations department related to either medical insurance billing, collections or patient access • Communicate with insurance payers to ensure proper insurance coverage for our patients or to ensure timely and accurate reimbursement for dialysis services rendered at our clinics • Review and submit system setup requests to appropriate teams to ensure center and payer information is loaded into the billing system for accurate billing • Respond timely and accurately to payer communications • Collaborate with other revenue operations teams to ensure seamless processes across teams • Partner with clinics teammates such as Insurance counselors, social workers and facility administrators to ensure timely and accurate insurance information • Help identify process changes and opportunities for continuous improvements • Maintain current patient account information at all times • Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies • May be asked to work overtime as needed • Attend team meetings, phone conferences, and training as needed • Know, understand and follow teammate guidelines, employment policies, and department or company procedures

Colorado
$19 - $23 / hour