Claims Supervisor

• Team Leadership: Lead a team of dedicated professionals with a focus on delivering timely, high-quality claim outcomes
• Operations Oversight: Monitor daily claim processing activities to ensure established performance metrics and service-level standards are consistently met
• Quality Assurance: 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
• Documentation: Develop, write, and maintain resource documents to support team accuracy and serve as reliable reference materials
• Issue Resolution: Serve as an escalation point for complex or disputed claims, customer concerns, and provider inquiries, ensuring timely and professional resolution
• Process Improvement: Analyze claim data to identify trends and opportunities for operational enhancement
• collaborate with the Head of Claims to implement prompt and effective solutions
• Training & Development: Create individualized training plans and collaborate with the team’s dedicated trainer to support continuous growth and development for each team member

• Minimum of three to five years of experience in healthcare claims
• 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

• Competitive salary and equity compensation
• Comprehensive healthcare benefits
• Flexible work arrangements (hybrid or remote considered)
• Opportunity to work with a mission-driven team transforming healthcare