Claims Supervisor

A company is looking for a Claims Supervisor to lead a team of Claims Processors and ensure accurate claims processing for employer-sponsored health plans.

Key Responsibilities

Oversee claims processing to ensure compliance with benefit plans and pricing agreements

Manage claims inventory and educate claims staff on proper application of client benefit plans

Develop policies and procedures for claims administration and monitor staff compliance

Required Qualifications

At least 3 years of experience with self-funded healthcare plans and claims processing in a TPA environment

Minimum 3 years of supervisory experience in a claims team

Experience with automated claims adjudication systems

Thorough understanding of insurance policies and claims handling processes

Ability to analyze claims data for informed decision-making