Supervisor, Operations

Blue Shield of CA; Los Angeles (CA); Hybrid; USD 85,000 - 110,000; Full time

Job summary

Blue Shield of California is seeking a Claims Supervisor to lead the daily inventory of claims and assign work among claims examiners and contractors, ensuring adjudication aligns with member benefits and provider contracts.

The role operates in a hybrid environment, requiring in-office presence two days per week, and emphasizes collaboration with the Senior Manager of Operations to meet performance standards through process improvements.

Qualifications

• Bachelor's degree or HS diploma with 4 years of relevant experience required
• 5 years of prior relevant experience required
• 2 years of experience in a lead role or equivalent leadership training required

Responsibilities

• Oversee daily inventory of claims and assign work among claims examiners and contractors
• Collaborate with Senior Manager, Operations to develop process improvements
• Work with other units to ensure Claims Department meets performance standards

Skills

Leadership

Claims processing

Process improvement

Team collaboration

Mentoring/leadership

Education

Bachelor's degree

High School Diploma/GED

Job description

The Claims operational teams are responsible for ensuring claims are processed accurately and adjudicated in accordance with member benefits, provider contracts, and organizational policies and procedures. The Claims Supervisor reports to the Senior Manager, Operations. As a Claims Supervisor, you will be responsible for the daily inventory of claims and assignment of work among claims examiners and the team's contractors. You will also work closely with the Senior Manager, Operations in developing process improvements and collaborating with other units to ensure the Claims Department meets and/or exceeds performance standards.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree required
• 5 years of prior relevant experience required
• 2 years of experience operating in a lead role or equivalent leadership training or manager training required

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.