Remote Claims Operations Supervisor

Highmark; United States; Remote; USD 58,000 - 90,000; Full time

Job summary

Highmark Inc. in the United States seeks a Remote Claims Supervisor to oversee day-to-day activities of the claims processing and adjustment units across all markets.

You will supervise staff, coordinate backlog distribution for regular and overtime work, monitor daily inventories, and act as Subject Matter Expert for benefit plans and processing issues. The role emphasizes accuracy and timely processing and may involve cross-site collaboration.

Qualifications

• Knowledge of multiple processing systems and workflows.
• Knowledge of claims processing methodologies.
• Ability to interpret all government regulations.
• Knowledge of Highmark products.

Responsibilities

• Supervise all assigned personnel.
• Coordinate claim backlog distribution for regular and overtime work across the company.
• Monitor and manage daily inventories to ensure staffing and resources.
• Serve as SME for benefit plans and claims processing issues.
• Research quality issues and respond to error assessments.
• Ensure business processes are routinely monitored and improved.

Skills

Processing systems

Claims processing methodologies

Regulatory interpretation

Knowledge of Highmark products

Education

High School Diploma or GED

Bachelor’s degree

Job description

Highmark Inc. in the United States seeks a Remote Claims Supervisor to oversee day-to-day activities of the claims processing and adjustment units across all markets.

You will supervise staff, coordinate backlog distribution for regular and overtime work, monitor daily inventories, and act as Subject Matter Expert for benefit plans and processing issues. The role emphasizes accuracy and timely processing and may involve cross-site collaboration.