Claims Supervisor at Centivo

Buffalo, New York, United States

Apply Now

Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Demonstrates knowledge and understanding of benefit administration for self-funded healthcare plans
Ensures that claims are processed and paid in accordance with benefit plans, pricing agreements, and required authorizations
Manages the inventory of claims against standard service level agreements (SLAs)
Educates and mentors claims staff to ensure proper application of client benefit plans to claims processed
Develops policy and procedures to ensure that benefit plans and claim standards are properly administered
Accountable for positively influencing the morale of the department employees
Responsible for establishing annual goals for staff that align with organization strategies and personal growth
Provides timely and constructive feedback on performance
Performs other duties as deemed essential and necessary

Responsibilities

Demonstrates knowledge and understanding of benefit administration for self-funded healthcare plans
Ensures that claims are processed and paid in accordance with benefit plans, pricing agreements, and required authorizations
Manages the inventory of claims against standard service level agreements (SLAs)
Educates and mentors claims staff to ensure proper application of client benefit plans to claims processed
Develops policy and procedures to ensure that benefit plans and claim standards are properly administered
Accountable for positively influencing the morale of the department employees
Responsible for establishing annual goals for staff that align with organization strategies and personal growth
Provides timely and constructive feedback on performance
Performs other duties as deemed essential and necessary

Skills

Centivo

Affordable health insurance with primary care focus

About Centivo

Centivo provides health insurance focused on making healthcare affordable and accessible. The company emphasizes primary care, offering free primary care services, no deductibles, and low, predictable copays to help keep its members healthier and reduce the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's offering is its integrated virtual care service, allowing members to access care conveniently. The company is distinguished by its commitment to quality, curating providers based on strict price and quality standards, particularly in primary care. Centivo's goal is to enhance the member experience while lowering overall healthcare costs.

Buffalo, New YorkHeadquarters

2017Year Founded

$183.7MTotal Funding

DEBTCompany Stage

Financial Services, HealthcareIndustries

201-500Employees

Benefits

Insurance: Medical, dental, vision, life & diability

401k plan

Access to a health savings account

Commuting and dependent care FSA

Competitive salary, bonus, & equity

Risks

Integration challenges with Eden Health may disrupt service delivery if not managed well.

Chronic shortages in primary care access could impact Centivo's care delivery model.

Increased competition from AI-driven startups may challenge Centivo's market position.

Differentiation

Centivo emphasizes primary care partnerships to coordinate healthcare needs effectively.

The company offers free primary care, no deductibles, and low, predictable copays.

Centivo integrates virtual care and mental health services for comprehensive healthcare solutions.

Upsides

Centivo raised $75M to expand affordable health plans amid rising U.S. healthcare costs.

Acquisition of Eden Health enhances Centivo's virtual care and mental health services.

Growing trend of virtual care aligns with Centivo's integrated virtual care service.

Land your dream remote job 3x faster with AI

Try Jobo Free