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 for accurate and timely healthcare claims processing
• Oversee claims review to ensure compliance with healthcare regulations and organizational policies
• Resolve escalated claims issues and collaborate with other departments to improve claims processing

Required Qualifications

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