Claims Processing Supervisor

Claims Processing Supervisor

All Care Health | Claims Department

All Care Health offers competitive wages and an excellent benefits package, including affordable healthcare, 401(k) retirement, wellness programs, and flexible scheduling options.

The Claims Processing Supervisor ensures that internal and external departmental performance requirements are consistently met. This role oversees the day-to-day activities of the Claims Processing team, assigns work and coordinates efficient workflows to meet contractual and operational requirements, and serves as a hands‑on resource for staff regarding training, questions, and claims processing best practices.

• Supports and contributes to All Care’s mission, vision, and values.
• Maintains and monitors internal audit procedures to ensure staff compliance with departmental policies, procedures, and quality standards.
• Ensures claims processing procedures are followed consistently and provides coaching or retraining as needed.
• Maintains compliance with departmental policies and procedures related to HIPAA and protected health information (PHI).
• Reviews, develops, maintains, and updates claims processing procedures, reference materials, and training resources.
• Maintains a working knowledge of the duties, processes, and workflows performed by all positions supervised.
• Organizes team workflow and assigns responsibilities to ensure appropriate coverage, including during staff absences.
• Monitors individual and team productivity and quality and provides regular, constructive feedback.
• Identifies and addresses employee performance, attendance, and workplace concerns in accordance with organizational policies and procedures.
• Conducts performance evaluations for direct reports.
• Maintains clear and accurate documentation of employee performance discussions, coaching, and disciplinary actions.
• Identifies and communicates system needs, process improvement opportunities, operational concerns, and staff‑related issues to department leadership.
• Demonstrates professional and respectful communication and behavior when working with employees, leadership, providers, and other stakeholders.
• Maintains punctual, regular, and predictable attendance.
• Works collaboratively within the department and across teams to support effective claims operations.
• Respectfully receives and follows direction from the Sr. Claims Processing Manager and/or VP, Claims Administration & Payment Integrity.
• Completes all required training, including assigned Relias Learning Management System (LMS) training.
• Performs other duties as assigned.

This position does not have any on‑call responsibilities.

Directly supervises approximately 9–11 employees within the Claims department. Carries out supervisory responsibilities in accordance with organizational policies and applicable laws. Responsibilities include interviewing, hiring, onboarding and training employees; planning, assigning, and directing work; monitoring and evaluating performance; providing coaching and corrective action when appropriate; addressing employee concerns; and supporting the resolution of workplace issues.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, with or without reasonable accommodation. The requirements below are representative of the knowledge, skills, and abilities necessary for the position.

• High school diploma or equivalent required.
• Bachelor’s degree from a four‑year college or university preferred; or an equivalent combination of education and experience.

• Two or more years of…