Claims Processing Supervisor

Job Summary

Managing daily assignments and work queues, the full-time remote Claims Processing Supervisor will ensure timely resolution of claims and accurate billing while overseeing staff performance and operational efficiency during night shifts from 10:00 PM to 6:30 AM Eastern Time.

Key responsibilities

• Collaborates with the 3rd Party Claims Manager to set associate and departmental goals while monitoring performance metrics
• Assigns daily work and manages the quality of claims processing performed by associates
• Handles escalated customer and payer calls, ensuring proper resolution and compliance with operational standards

Required qualifications

• Associates degree or equivalent experience (4+ years) required
• 3+ years of direct supervisory experience in a relevant field
• Experience with long-term care adjudication is mandatory
• Proficiency in MS Office Products, particularly Excel and Word
• Ability to maintain confidentiality and ensure compliance with Sarbanes Oxley (SOX) regulations