Remote Claims Supervisor: Lead, Improve & Ensure Compliance

Centene Management Company LLC; Illinois; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements

Job summary

Centene Management Company LLC seeks a claims supervisor to oversee daily operations, support staff, and resolve complex issues. You will implement compliant policies, balance workloads, and drive cost-effective improvements while liaising with internal customers and stakeholders.

The role requires an associate degree with 2+ years in health insurance/claims and prior supervisory experience; Medicaid/Marketplace/Medicare familiarity is a plus. Remote work option available nationwide in the US.

Qualifications

• Associate degree in related field or equivalent experience required.
• 2+ years of health insurance industry, claims processing, physician’s office or other office services experience required.
• Previous supervisory/lead role with defined outcomes required.
• Experience with Medicaid, Marketplace and/or Medicare preferred.

Responsibilities

• Oversee day-to-day claims area operations and lead staff to resolve complex issues.
• Develop and implement compliant policies and procedures in line with regulations.
• Prioritize work volumes daily through reporting and load balancing.
• Identify opportunities for improvements and resolve operational gaps with cost/benefit analysis.
• Review, investigate, adjust, and resolve pending claims; serve as escalation point.
• Prepare reporting and insights to drive operational excellence.

Skills

Leadership

Supervisory experience

Regulatory knowledge

Problem solving

Communication

Education

Associate degree or related field

2+ years in health insurance/claims processing

Supervisory/lead experience

Medicaid/Marketplace/Medicare experience preferred

Job description

Centene Management Company LLC seeks a claims supervisor to oversee daily operations, support staff, and resolve complex issues. You will implement compliant policies, balance workloads, and drive cost-effective improvements while liaising with internal customers and stakeholders.

The role requires an associate degree with 2+ years in health insurance/claims and prior supervisory experience; Medicaid/Marketplace/Medicare familiarity is a plus. Remote work option available nationwide in the US.