Claims Resolution Supervisor

Job Summary

A company is looking for a Supervisor, Claims Resolution Commercial.

Key Responsibilities

• Supervise and manage a team of claims reviewers to ensure accurate and timely healthcare claims processing
• Oversee claims review and analysis to ensure compliance with healthcare regulations and organizational policies
• Resolve escalated or complex claims issues, ensuring appropriate adjudication and dispute resolution

Required Qualifications

• Bachelor's Degree in Healthcare Administration or a related field required
• 3-5 years of experience in healthcare claims review or processing
• 1-2 years of experience in a senior or leadership role
• Experience may be accepted in lieu of a degree