Claims Escalation Supervisor

Job Summary

A company is looking for a Supervisor of Claims Escalation.

Key Responsibilities

• Supervise daily operations of the claims escalation team to ensure efficient case resolution
• Serve as the final authority for sensitive claims requiring advanced investigation and compliance review
• Monitor key metrics and prepare reports to improve resolution times and customer satisfaction

Required Qualifications

• Bachelor's degree in business, Healthcare Administration, or related field preferred (equivalent experience considered)
• 3-5 years of experience in claims processing, adjudication, or related healthcare/insurance operations
• 2+ years in a supervisory or lead role preferred
• Deep knowledge of claims systems, processes, and applicable state/federal regulations
• Proficiency with claims systems, Office Suite, and reporting tools