Medical Claims Supervisor

Position Overview We are seeking an experienced Medical Claims Processing Supervisor to lead a team responsible for insurance verification and benefits research supporting patients prescribed complex and high-cost drug therapies. This role combines people leadership with hands-on operational oversight. The Supervisor will be responsible for coaching and developing Medical Claims Processors, monitoring productivity and quality, reviewing work, resolving escalated cases, and ensuring the team consistently follows client requirements, documented procedures, and business rules. Lead, coach, and support a team of Medical Claims Processors responsible for insurance verification and benefits investigationMonitor productivity, quality, accuracy, and adherence to established processes and provide coaching when performance gaps are identifiedEnsure team members follow client requirements, documented procedures, work instructions, and business rulesProvide guidance on complex insurance coverage questions, discrepancies, and escalated casesOversee team workflow and schedules to maintain appropriate coverage and achieve daily productivity expectationsIdentify potential staffing needs or workflow concerns and escalate recommended adjustments to managementConduct timely performance evaluations and provide ongoing feedback, coaching, and developmentAddress employee performance and corrective-action matters in accordance with company policies Requirements Minimum Qualifications High school diploma or equivalent; bachelor's degree preferredAt least 2 years of experience in back-office operations, healthcare administration, insurance verification, benefits investigation, claims processing, pharmacy operations, or a similar operational environmentAt least 1 year of supervisory experienceStrong leadership, coaching, and mentoring skillsStrong analytical, research, and problem-solving abilitiesExcellent written and verbal communication skillsStrong organizational skills and attention to detailAbility to effectively manage multiple priorities in a fast-paced, productivity-driven environmentProficiency with Microsoft Office, including Word, Excel, PowerPoint, and Outlook Preferred Qualifications Medical claims, health insurance, benefits investigation, insurance verification, specialty pharmacy, or related healthcare experience strongly preferredWorking knowledge of medical insurance concepts and terminology, including eligibility, deductibles, copays, coverage limitations, and prior authorizationsExperience leading teams responsible for high-volume transactional, claims, insurance, healthcare, or other detail-intensive back-office workExperience monitoring and coaching employees against productivity, quality, and accuracy expectations Benefits Health Care Plan (Medical, Dental & Vision)Retirement Plan (401k)Life Insurance (Basic, Voluntary)Paid Time Off Short Term & Long Term DisabilityTraining & DevelopmentWellness Resources