Hybrid Claims Operations Leader

Blue Shield of CA; Los Angeles (CA); Hybrid; USD 85,000 - 110,000; Full time

Job summary

Blue Shield of California is seeking a Claims Supervisor to lead the daily inventory of claims and assign work among claims examiners and contractors, ensuring adjudication aligns with member benefits and provider contracts.

The role operates in a hybrid environment, requiring in-office presence two days per week, and emphasizes collaboration with the Senior Manager of Operations to meet performance standards through process improvements.

Qualifications

• Bachelor's degree or HS diploma with 4 years of relevant experience required
• 5 years of prior relevant experience required
• 2 years of experience in a lead role or equivalent leadership training required

Responsibilities

• Oversee daily inventory of claims and assign work among claims examiners and contractors
• Collaborate with Senior Manager, Operations to develop process improvements
• Work with other units to ensure Claims Department meets performance standards

Skills

Leadership

Claims processing

Process improvement

Team collaboration

Mentoring/leadership

Education

Bachelor's degree

High School Diploma/GED

Job description

Blue Shield of California is seeking a Claims Supervisor to lead the daily inventory of claims and assign work among claims examiners and contractors, ensuring adjudication aligns with member benefits and provider contracts.

The role operates in a hybrid environment, requiring in-office presence two days per week, and emphasizes collaboration with the Senior Manager of Operations to meet performance standards through process improvements.