Claims Supervisor

New

Skills

Google Sheets

Lead a team of dedicated professionals with a focus on delivering timely, high-quality claim outcomes.

Key Responsibilities
  • Monitor daily claim processing activities to ensure established performance metrics and service-level standards are consistently met.
  • Ensure all claim processing complies with internal policies as well as state and federal regulations.
  • Participate in control audits and implement corrective action plans as needed.
  • Develop, write, and maintain resource documents to support team accuracy and serve as reliable reference materials.
  • Analyze claim data to identify trends and opportunities for operational enhancement; collaborate with the Head of Claims to implement prompt and effective solutions.
Required Skills & Qualifications
  • Minimum of three to five years of experience in healthcare claims, including prior leadership or supervisory responsibilities.
  • Strong understanding of healthcare claims adjudication, medical terminology, and coding systems (ICD-10, CPT).
  • Knowledge of and/or hands-on experience working in a startup environment.
  • Excellent leadership, problem-solving, analytical, and communication skills.
  • Proficiency in claims management software, Google Drive, and Google Sheets. VBA experience is a plus.

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: 12 Months

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