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Supervisor Claims (PST Highly Preferred)

Key Facts

Remote From: 
Full time
Senior (5-10 years)
English

Other Skills

  • Team Leadership
  • Microsoft Excel
  • Microsoft PowerPoint
  • Microsoft Word
  • Accountability
  • Communication
  • Time Management
  • Analytical Thinking
  • Detail Oriented
  • Mentorship
  • Social Skills
  • Coaching
  • Problem Solving

Roles & Responsibilities

  • Bachelor's degree or an equivalent combination of education and experience
  • 5+ years of claims processing experience (Medicaid, PPO, and HMO environments)
  • Prior supervisory or team lead experience
  • Proficiency in Microsoft Office (Word, Excel, PowerPoint) and experience with claims systems and related technologies

Requirements:

  • Supervise and support claims staff to ensure accuracy, productivity, and adherence to processing guidelines; monitor inventory, turnaround times, and workflow to meet SLAs.
  • Create and deliver daily and weekly performance and operational reports to leadership; collaborate with leadership on recruiting, hiring, and onboarding new team members.
  • Train, coach, and mentor staff; evaluate performance and address concerns through coaching, performance improvement plans, or disciplinary actions; review live and recorded calls to ensure quality standards.
  • Act as an escalation point for complex issues; partner cross-functionally to drive resolution; support first-call resolution and identify opportunities for process improvement and operational enhancements.

Job description

Lead a Team. Drive Performance. Deliver Excellence.

At Liberty Dental Plan, our claims operations play a critical role in ensuring members receive timely, accurate, and high-quality service. We’re looking for a Claims Supervisor who brings strong leadership, operational discipline, and a passion for developing people to help drive performance and consistency across our claims function.

This is a highly visible role where you’ll oversee daily operations, manage team performance, and partner with leadership to ensure service level agreements are met while fostering a collaborative and engaged team environment.


What You’ll Do

As a Claims Supervisor, you’ll lead both day-to-day execution and team development, including:

  • Supervise and support claims staff to ensure accuracy, productivity, and adherence to processing guidelines
  • Monitor inventory, turnaround times, and workflow distribution to meet deadlines and service level agreements (SLAs)
  • Create and deliver daily and weekly performance and operational reports to leadership
  • Partner with leadership on recruiting, hiring, and onboarding new team members
  • Train, coach, and mentor staff, providing ongoing feedback and development support
  • Evaluate employee performance and address concerns through coaching, performance improvement plans, or disciplinary action
  • Foster a team-oriented environment that promotes collaboration, accountability, and strong morale
  • Monitor call volumes and partner with analysts to align staffing with performance expectations
  • Review live and recorded calls to ensure quality standards are met and address performance gaps in real time
  • Act as an escalation point for complex issues, partnering cross-functionally to drive resolution
  • Support first-call resolution by remaining accessible to frontline staff
  • Identify opportunities for process improvement and support operational enhancements
  • Travel occasionally as needed

What You Bring

  • Bachelor’s degree or equivalent combination of education and experience
  • 5+ years of claims processing experience, including Medicaid, PPO, and HMO environments
  • Prior supervisory or team lead experience
  • Strong knowledge of claims adjudication and processing standards
  • Proven ability to lead teams, manage performance, and balance multiple priorities
  • Proficiency in Microsoft Office (Word, Excel, PowerPoint)
  • Experience working with claims systems and related technologies
  • Strong communication, coaching, and interpersonal skills
  • Analytical mindset with a focus on quality, accuracy, and continuous improvement

Why Liberty Dental Plan?

  • Mission-driven organization focused on improving access to care
  • Opportunity to lead and shape claims team performance and operations
  • Strong partnership with leadership and cross-functional teams
  • A culture grounded in accountability, collaboration, and continuous improvement
  • Opportunities for professional growth and development

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