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We are seeking a temporary Claims Supervisor to support daily operations within the Claims Unit during a leave of absence coverage. This role will oversee claims processing activities, supervise staff, and help ensure performance, productivity, and compliance standards are consistently met. The ideal candidate is a hands-on leader with strong claims, billing, and team management experience who can thrive in a fast-paced, deadline-driven environment.
Job Responsibility
Supervise the receipt, review, processing, calculation, payment, and reporting of monthly claims submitted by providers
Ensure claims are processed accurately and in compliance with contractual requirements, regulations, and internal policies and procedures
Lead and support Claims Unit staff by establishing priorities, monitoring workflows, and implementing best practices to improve efficiency and accuracy
Develop action plans to meet monthly payment processing and export deadlines
Monitor team productivity and performance metrics to ensure service standards are maintained
Conduct regular Claims Unit meetings to communicate updates, priorities, and process improvements
Identify training needs and coordinate staff development initiatives
Assist with employee performance management, including annual performance evaluations and coaching
Support and participate in provider workshops and training sessions as needed
Collaborate with cross-functional teams to resolve escalated claims issues and improve processes
Perform additional duties and special projects as assigned
Requirements
Bachelor's degree in Accounting, Business Administration, Human Services, Social Services, or a related field preferred. Equivalent relevant work experience may be considered in lieu of a degree
Minimum 2 years of supervisory experience in a claims, billing, payment processing, or related environment
Prior experience overseeing high-volume claims processing and payment workflows
Experience working with subsidized childcare, social services, healthcare claims, or government-funded programs strongly preferred
Strong understanding of compliance requirements, regulations, and audit standards related to claims processing
Proven leadership skills with the ability to coach, motivate, and develop staff
Strong analytical, organizational, and problem-solving abilities
Excellent written and verbal communication skills
Proficiency in Microsoft Office, especially Excel, and claims/payment processing systems
Ability to manage multiple deadlines in a fast-paced environment while maintaining accuracy and attention to detail