Claims Supervisor
Core
Lead a team responsible for accurate and timely processing of healthcare claims (professional/institutional) while ensuring adherence to client policies, regulatory requirements, and internal quality standards.
Role type
Senior IC claims operations supervisor
Builds
Global insurance claims processing for individual, employer and group
Domain
Healthcare insurance / Claims operations
Required skills
Team leadership, claims adjudication, quality compliance, performance management, stakeholder communication, continuous improvement, MS Office, data analysis
Preferred skills
Claims platforms/workflows, OCR/intake tools, BPM/queue management, Lean/Six Sigma, provider contracting concepts
Technologies
MS Office (Excel, PowerPoint), claims platforms, OCR tools, BPM systems
Responsibilities
Supervise day-to-day claims processing operations to meet SLA/TAT, productivity, and quality targets; Guide the team on claims handling across key areas such as intake, validation, adjudication support, and pends; Drive adherence to SOPs, WIs, and control checks; Set clear expectations, conduct huddles/1:1s, and provide ongoing coaching on quality, productivity, and behaviors; Provide daily/weekly operational updates to managers and cross-functional teams; Identify defect trends, run basic analysis, and implement corrective/preventive actions.
Seniority
Senior, hands-on IC with team leadership