Remote Claims Operations Supervisor

Highmark Health Company; Oregon; Hybrid; USD 58,000 - 90,000; Full time

Job summary

Highmark Inc. seeks a willful supervisor to oversee day-to-day activities across claims processing units, coordinating workloads and responding to inquiries from members, providers, and account representatives in multiple markets.

The role requires leadership of staff and deep knowledge of claims systems, benefit plans, and regulatory requirements. Preference is given to candidates with a bachelor’s degree and relevant experience. Remote office-based position with travel up to 25% may apply.

Qualifications

• 2 years experience in a claims environment.
• 1 year experience leading or supervising others.
• Bachelor’s degree preferred.

Responsibilities

• Communicate effectively.
• Effectively supervise all assigned personnel.
• Coordinate claim backlog distribution for regular and overtime work.
• Monitor and manage daily inventories to ensure adequate staffing and resources.
• Subject matter expert for benefit plan and claims processing issues, implementation of new groups and products, and transition meetings.
• Research quality issues and respond to error assessments.
• Ensure all business processes are routinely monitored.
• Recommend and design process improvements to improve accuracy and timeliness.

Skills

Processing systems

Claims processing

Regulations interpretation

Highmark products

Education

Bachelor’s degree

Job description

Highmark Inc. seeks a willful supervisor to oversee day-to-day activities across claims processing units, coordinating workloads and responding to inquiries from members, providers, and account representatives in multiple markets.

The role requires leadership of staff and deep knowledge of claims systems, benefit plans, and regulatory requirements. Preference is given to candidates with a bachelor’s degree and relevant experience. Remote office-based position with travel up to 25% may apply.