Remote Claims Supervisor – Team Lead & Process Improvement

Highmark Health; City of Albany (NY); Remote; USD 58,000 - 90,000; Full time

Job summary

Highmark Inc. is seeking a claims processing supervisor to oversee day-to-day activities of multiple claims units, coordinating inquiries from members, providers, and account representatives across markets.

The ideal candidate will have 2+ years in a claims environment with at least 1 year in a supervisory role; a Bachelor’s degree is preferred. Remote office-based position with travel and strong regulatory knowledge.

Qualifications

• Must have 2+ years in a claims environment.
• Minimum 1 year in a lead or supervisory role.
• Strong understanding of claims processing methodologies and regulatory requirements.

Responsibilities

• Supervise day-to-day activities of claims units.
• Coordinate claim backlog distribution across teams and locations.
• Monitor staffing and resource needs to ensure service levels.
• Serve as subject matter expert for benefit plans and processing issues.
• Identify process improvements to improve accuracy and timeliness.

Skills

Systems knowledge

Claim processing workflows

Regulatory interpretation

Cross-team communication

Education

High School Diploma or GED

Bachelor’s degree

Job description

Highmark Inc. is seeking a claims processing supervisor to oversee day-to-day activities of multiple claims units, coordinating inquiries from members, providers, and account representatives across markets.

The ideal candidate will have 2+ years in a claims environment with at least 1 year in a supervisory role; a Bachelor’s degree is preferred. Remote office-based position with travel and strong regulatory knowledge.