Remote Claims Team Lead - Self-Funded Health Plans

Centivo Corporation; Buffalo (NY); Hybrid; USD 90,000 - 115,000; Full time

Job summary

Centivo Corporation seeks a Claims Supervisor to lead a team of Claims Processors, ensuring accurate and efficient processing for employer-sponsored health plans. The role sets productivity benchmarks, enforces quality standards, and drives continuous improvement.

This position supports Buffalo, NY operations with potential remote work. Experience in self-funded health plans and automated adjudication systems is required.

Qualifications

• Thorough understanding of insurance policies and claims handling processes.
• Proven leadership and the ability to motivate a team.
• Experience supervising a claims team in a highly automated environment.

Responsibilities

• Lead a team of Claims Processors and manage backlog and SLA adherence.
• Ensure claims are processed and paid in accordance with plans, pricing, and authorizations.
• Develop and enforce policies and procedures for claim administration and quality.

Skills

Knowledge of insurance

Leadership

Analytical thinking

Self-funded plans

Supervisory experience

Tools

HealthRules Payer

Job description

Centivo Corporation seeks a Claims Supervisor to lead a team of Claims Processors, ensuring accurate and efficient processing for employer-sponsored health plans. The role sets productivity benchmarks, enforces quality standards, and drives continuous improvement.

This position supports Buffalo, NY operations with potential remote work. Experience in self-funded health plans and automated adjudication systems is required.