Claims Supervisor - Remote

Overview

The Claims Supervisor is responsible for overseeing the day-to-day operations of the claims processing function, ensuring timely, accurate, and compliant adjudication of all participant claims while leading a team of Reimbursement Specialists.

In Short

• Lead and develop a team of Reimbursement Specialists.
• Oversee daily claims processing activities.
• Manage outsourced claims processing vendors.
• Monitor and report on key performance metrics.
• Ensure compliance with IRS regulations and internal policies.
• Identify and implement process improvements.
• Conduct audits and provide targeted coaching.
• Support hiring and training initiatives.
• Maintain operational efficiency and quality standards.
• Drive accountability and influence outcomes.

Requirements

• 3–5 years of experience in claims processing or reimbursement operations.
• Prior supervisory or team lead experience.
• Strong understanding of claims adjudication and IRS regulations.
• Experience managing outsourced vendors.
• Advanced proficiency in Excel and reporting.
• Detail-oriented with a focus on accuracy and compliance.
• Effective communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong interpersonal skills.
• Customer service orientation.

Benefits

• Competitive medical, dental, and vision benefits.
• Company-funded HSA and 401k with company match.
• Generous vacation policy.
• Life Balance Reimbursement Plan.
• Volunteer program for community involvement.