Claims Supervisor- Remote

Wellabe; Des Moines (IA); Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

Hybrid availability

401(k) with company match

Health insurance

Paid time off, holidays

Volunteer time off

Lifestyle Spending Account (LSA)

Paternity leave

Job summary

Wellabe is seeking a Claims Supervisor to lead a team of claims professionals and coordinate day-to-day activities. You will monitor workload, provide training, and guide adjudication decisions while ensuring regulatory and company standards are met.

Responsibilities include directing the team, delivering guidance, resolving escalations, and participating in performance management and recruitment. Emphasis on training, policy communication, and quality control.

Qualifications

• Knowledge of claims administration processes, insurance regulations, and quality standards.
• Strong interpersonal, verbal, and written communication skills; able to explain complex information.
• Ability to coach, develop, and support team performance while managing workloads and priorities.
• Strong analytical, problem-solving, and decision-making skills.
• Ability to make sound, timely decisions by evaluating information and applying policies.
• Customer service and conflict resolution skills for escalated situations.
• Strong attention to detail, organization, and proficiency with business technology.

Responsibilities

• Direct the claims team to ensure consistent delivery of services meeting customer expectations and standards.
• Provide technical guidance to team members.
• Resolve complaints, problems, and coverage questions.
• Participate in management duties including performance management and recruitment.
• Provide ongoing training and coaching to team members and communicate policies.
• Review and analyze management reports and take appropriate action.
• Perform quality reviews on claims to meet audit and contract requirements.
• Ensure claim files are properly coded with adequate documentation.
• Oversee workflow, provide feedback, hire, and manage performance of direct reports.

Skills

Coaching

Analytical thinking

Decision making

Communication

Customer service

Attention to detail

MS Office

Education

Bachelor's degree

Certifications

Tools

MS Office

Job description

Wellabe is looking for a Claims Supervisor to join our team. This person responsible for coordinating the day-to-day activities of a team of claims employees. Monitors team member's workload, provides training, and monitors individual claim activities. Provides technical guidance to team on claims adjudication. Ensures team members have the needed training and are in compliance with regulatory and company standards.

Core Responsibilities

• Responsible for the direction of the claims team to ensure consistent delivery of services that meet or exceed customer expectations and complies with regulatory and company standards.
• Provides technical guidance to team members.
• Resolves complaints, problems, and coverage questions.
• Participates in management related duties including performance management, recruitment and selection of new hires.
• Provides ongoing training and coaching to team members. Ensures all receive communication of corporate/department policies and procedures.
• Complies, reviews and analyzes management reports and takes appropriate action.
• Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
• Ensures claim files are coded correctly and adequate documentation is made.
• Manage direct reports including overseeing workflow, providing feedback, fostering a positive work environment, training, hiring, and performance management.

Qualifications

• Knowledge of claims administration processes, insurance regulations, and quality standards.
• Strong interpersonal, verbal, and written communication skills, including the ability to explain complex information to others.
• Ability to coach, develop, and support team performance while managing workloads and priorities.
• Strong analytical, problem-solving, and decision-making skills.
• Ability to make sound, timely decisions by evaluating available information, balancing risks, and applying policies and procedures consistently.
• Customer service and conflict resolution skills for handling escalated situations.
• Strong attention to detail, organization, and proficiency with business technology and Microsoft Office applications.

Education

• Bachelor’s degree in related discipline. Combination of education and experience may be accepted in lieu of a degree.
• Professional certifications as applicable.

Benefits

• Hybrid availability
• 401(k) with company match
• Health insurance
• Paid time off, holidays
• Volunteer time off
• Lifestyle Spending Account (LSA)
• Paternity leave

Growth opportunities

We believe each of us has potential to grow and adapt with our business. We take your career as seriously as you do. Helping you develop your skills and talents leads to opportunities - not only for you, but also for our company. That's why we provide:

• LinkedIn Learning Premium access
• CliftonStrengths assessment and coaching
• On-site and virtual workshops and cohorts featuring world-class content from FranklinCovey, Crucial Learning, Gallup, and more
• Free world-class insurance acumen courses through AHIP and LOMA
• Reimbursement and bonus opportunities for professional designations and certifications, including a tuition reimbursement program
• Opportunities to take part in Wellabe's mentorship programs

About Wellabe

Since 1929, Wellabe has been finding solutions to help our customers protect their health and financial well-being. And we're committed to fostering an internal culture of inclusivity, well-being, and development so each of our team members can succeed. Learn more about Wellabe's culture of betterment by visiting wellabe.com/culture.

Wellabe is full of smart, caring, hard-working people with a broad range of talents who understand collaboration is key. We bring our best selves every day, to connect with others to solve problems, spark innovation, and bring ideas to life. Meet the team and learn what makes Wellabe a great place to work by visiting wellabe.com/news/employee-spotlights.

Our core values:

• Be dedicated:Show unwavering commitment by proactively taking initiative, setting clear goals, and managing time effectively.
• Be trustworthy:Take accountability for actions, navigate difficult conversations with integrity, and build strong relationships through consistent, honest behavior.
• Be determined:Demonstrate enthusiasm and a relentless drive to overcome obstacles and achieve goals.
• Be collaborative:Foster teamwork by being self-aware, actively listening, and effectively communicating across all levels.
• Be open:Embrace diversity and new ideas to create an inclusive environment.
• Be generous:Embody generosity and compassion by serving a greater purpose and helping others.
• Be better:Commit to continuous improvement and adapt effectively to change.
• Be well:Prioritize physical and mental health, manage stress, and demonstrate emotional intelligence.