Claims Quality Supervisor

UCLA Outpatient Clinics; Los Angeles (CA); Hybrid; USD 81,000 - 169,000; Full time

Job summary

The UCLA Outpatient Clinics in Los Angeles, CA seeks a detail-oriented Claims Quality Supervisor to lead audit and quality assurance initiatives across all claims operations. You will drive accuracy, efficiency, and regulatory compliance.

Responsibilities include developing QA monitoring systems, overseeing audit programs, managing customer service within Claims Administration, and guiding staff with coaching and training to meet service goals.

Responsibilities

• Developing and implementing internal quality assurance monitoring systems and reporting tools.
• Overseeing audit programs to maintain high standards of compliance and performance.
• Managing the customer service functions within the Claims Administration Department.
• Leading and staffing the customer service team to meet established service goals and performance objectives.

Job description

Description

We are seeking a detail-oriented and experienced Claims Quality Supervisor to lead our audit and quality assurance initiatives across all aspects of claims operations. This role is responsible for ensuring accuracy, efficiency, and compliance with contractual and regulatory requirements.

Key responsibilities include:

• Developing and implementing internal quality assurance monitoring systems and reporting tools.
• Overseeing audit programs to maintain high standards of compliance and performance.
• Managing the customer service functions within the Claims Administration Department.
• Leading and staffing the customer service team to meet established service goals and performance objectives.
• Provide direct supervision and guidance for Quality Control and Customer Service staff and provide developmental and training opportunities for team members.

Salary Range: $80,700 - $168,500.00/Annually