Healthcare Claims Supervisor

2 weeks ago


Tampa, Florida, United States Ultimate Staffing Full time

Join Our Team as a Healthcare Claims Supervisor

About the Role:

We are collaborating with a prominent Third Party Administrator seeking to enhance their team with a Healthcare Claims Supervisor.

Position Overview:

The Healthcare Claims Supervisor will lead a dedicated team responsible for managing the billing processes associated with healthcare services delivered to patients. This position will cultivate and disseminate knowledge regarding products, benefits, quality standards, and organizational protocols. The Supervisor will ensure that claims are accurately approved or denied based on the services provided, legislative mandates, and plan agreements. This role involves both internal and external coordination by supplying necessary information and generating reports.

Key Responsibilities:

  • Oversee and direct the claims processing operations for clients, ensuring that performance metrics are consistently met or surpassed while incorporating positive feedback and recognition systems.
  • Recruit and manage staff levels to guarantee ongoing, high-quality processing.
  • Engage in effective resource planning to optimize productivity and turnaround times.
  • Maintain comprehensive knowledge of Federal and State regulations; implement necessary changes regarding claims and billing practices.
  • Develop, revise, and monitor performance metrics to achieve departmental quality, timeliness, and productivity objectives.

· Monitor claims inventory levels and aging, assisting with workflow assignments.

  • Provide expertise and general claims support to teams in reviewing, researching, investigating, negotiating, processing, and adjusting claims.
  • Identify and coordinate resources for reprocessing claims.
  • Analyze and identify trends, providing detailed reports.

Essential Qualifications:

  • Bachelor's degree in a relevant field related to claims management in healthcare, such as business administration, accounting, finance, or equivalent experience.
  • A minimum of four years of supervisory experience in a healthcare claims processing environment, adhering to HIPPAA and HITECH standards.
  • Familiarity with benefit administration platforms, such as Javelina, is preferred.
  • Understanding of Federal and State regulations concerning the fiscal operations of healthcare services.
  • Knowledge of medical terminology and Diagnosis Codes (ICD-9 & ICD-10).
  • Ability to analyze and interpret issues in data collection, billing, and coding, determining the root cause and applying appropriate solutions.
  • Proficiency in calculating and recalculating claims, including performing complex calculations and applying formulas using multiplication and percentages.

We are committed to providing equal employment opportunities to all qualified applicants without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws.



  • Tampa, Florida, United States Leading Edge Full time

    Job OverviewPosition Summary:The Claims Manager at Leading Edge plays a pivotal role in overseeing the team dedicated to managing the billing processes for healthcare services rendered to patients. This position is responsible for cultivating and disseminating knowledge regarding products, benefits, quality standards, and organizational protocols. The Claims...


  • Tampa, Florida, United States Leading Edge Full time

    Job OverviewPosition Summary:The Claims Manager plays a pivotal role in leading the team tasked with overseeing the billing processes for healthcare services rendered to patients. This position is responsible for cultivating and disseminating knowledge regarding products, benefits, quality standards, and organizational protocols. The Claims Manager ensures...


  • Tampa, Florida, United States Leading Edge Full time

    Job OverviewPosition Summary:The Claims Processing Supervisor is responsible for managing the daily operations of the team that handles the billing for healthcare services rendered to patients. This role involves cultivating and disseminating knowledge regarding products, benefits, quality standards, and organizational protocols. The supervisor ensures that...


  • Tampa, Florida, United States Leading Edge Full time

    Job OverviewPosition Summary:The Claims Processing Supervisor is responsible for managing the daily operations of the team tasked with handling billing for healthcare services rendered to patients. This role involves enhancing and disseminating knowledge regarding products, benefits, quality standards, and organizational protocols. The supervisor ensures...


  • Tampa, Florida, United States Ultimate Staffing Full time

    Company OverviewUltimate Staffing is a prominent player in the insurance administration sector, experiencing rapid expansion. We are seeking a dedicated Healthcare Claims Team Leader to join our dynamic team.Position SummaryThe Healthcare Claims Team Leader will oversee the daily operations of the department responsible for processing healthcare service...


  • Tampa, Florida, United States Leading Edge Full time

    Job OverviewPosition Summary:The Healthcare Claims Operations Manager is responsible for leading a dedicated team that manages the billing processes for healthcare services rendered to patients. This role emphasizes the development and dissemination of knowledge regarding products, benefits, quality standards, and organizational protocols. The manager...

  • Claims Supervisor

    4 days ago


    Tampa, Florida, United States Safepoint MGA, LLC Full time

    Job SummaryWe are seeking a seasoned Claims Supervisor to lead our team of Claims Examiners and Claims Service Representatives in handling complex claims. The ideal candidate will have a proven track record of managing teams and ensuring prompt, effective, and courteous handling of all claims to policyholders and claimants.Key ResponsibilitiesSupervise and...


  • Tampa, Florida, United States Ultimate Staffing Full time

    Key Responsibilities · Lead and enhance the performance of the Claims Team by offering daily guidance and support, fostering a culture of coaching, constructive feedback, and direction, while incorporating positive reinforcement and recognition strategies.· Oversee inventory levels and the aging of claims and queues to effectively allocate work on a daily...


  • Tampa, Florida, United States Sherloq Solutions Full time

    Position OverviewSherloq Revenue Solutions is seeking a dedicated and experienced Coding Supervisor to join our dynamic team. This full-time role is ideal for individuals who thrive in a collaborative and fast-paced environment. Our organization has been a cornerstone in the community for over a century, and we are committed to fostering a workplace where...


  • Tampa, Florida, United States RLI Insurance Company Full time

    Position: Senior Liability Claims ManagerCompany: RLI Insurance CompanyAbout UsAt RLI Insurance Company, we take pride in our distinctive approach to delivering outstanding service. Our team of committed professionals is dedicated to achieving excellent outcomes and fostering enduring relationships with our clients and partners. We invite you to be part of...


  • Tampa, Florida, United States Acosta Sales & Marketing Full time

    Position OverviewThe Claims Resolution Analyst will play a pivotal role in managing and resolving claims that require further validation or are incomplete. This individual will be tasked with evaluating claims and determining their legitimacy.Key Responsibilities1. Manage escalated claims by identifying the reasons for escalation and providing timely...


  • Tampa, Florida, United States Acosta Sales & Marketing Full time

    Position OverviewThe Claims Resolution Analyst will play a crucial role in managing and resolving claims that require further validation or are incomplete. This individual will analyze claims to determine their legitimacy and ensure effective communication with both internal and external stakeholders.Key ResponsibilitiesHandle escalated claims, identifying...

  • Claims Team Leader

    2 weeks ago


    Tampa, Florida, United States Safepoint MGA, LLC Full time

    Job OverviewAre you a seasoned Claims Adjuster with a knack for leadership? We invite you to take on the role of Claims Supervisor at Safepoint MGA, LLC, where your leadership prowess will guide our team towards excellence.Company BackgroundSafepoint MGA, LLC is a prominent Property and Casualty insurance provider.Position SummaryThis role involves...

  • Claims Team Leader

    2 weeks ago


    Tampa, Florida, United States Ultimate Staffing Full time

    Position Overview The Claims Operations Supervisor is responsible for overseeing the performance of the Claims Team, ensuring effective leadership and support through daily coaching, constructive feedback, and clear direction. This role is pivotal in fostering a positive work environment and implementing reward mechanisms to enhance team morale.Key...

  • PIP Claims Analyst

    2 weeks ago


    Tampa, Florida, United States KING'S INSURANCE STAFFING LLC Full time

    KING'S INSURANCE STAFFING LLC is actively seeking two meticulous and experienced PIP Claims Examiners to enhance our dynamic team in Florida. The successful candidates will be entrusted with managing a range of personal injury protection (PIP) claims, ensuring fair and prompt resolutions.Key Responsibilities:Conduct thorough investigations and evaluations of...


  • Tampa, Florida, United States KING'S INSURANCE STAFFING LLC Full time

    Job Summary:KING'S INSURANCE STAFFING LLC is seeking a highly motivated and detail-oriented Auto Liability Claims Associate to join their team in Florida. This entry-level position is ideal for individuals looking to start a career in insurance claims management, focusing on assessing and processing liability claims.Key Responsibilities:Assess and process...


  • Tampa, Florida, United States KING'S INSURANCE STAFFING LLC Full time

    **About King's Insurance Staffing LLC**We are a leading provider of insurance staffing solutions, dedicated to connecting talented professionals with exciting career opportunities in the insurance industry.**Job Summary**We are seeking a highly motivated and detail-oriented Auto Liability Claims Associate to join our team in Florida. As an entry-level...


  • Tampa, Florida, United States Titan Medical Center Full time

    Job OverviewWe are looking for a dedicated Healthcare Office Supervisor to manage our operations at Titan Medical Center. This role involves coordinating medical functions and overseeing staff to ensure efficient service delivery.Key Responsibilities:Manage medical and health service operations and personnel.Collaborate with healthcare providers to execute...


  • Tampa, Florida, United States KING'S INSURANCE STAFFING LLC Full time

    KING'S INSURANCE STAFFING LLC is currently seeking to expand its dynamic team with the addition of two dedicated and experienced PIP Claims Examiners. This role is essential for managing personal injury protection (PIP) claims within Florida, ensuring thorough and equitable resolution of claims.Key Responsibilities:Conduct in-depth investigations and...


  • Tampa, Florida, United States IQVIA Full time

    Medical Claims Processing Support Specialist Contract Remote Position - Open to Remote US As a leading global provider of commercial solutions, IQVIA is dedicated to delivering insights and access to biopharma, medical device, and diagnostic companies, ensuring their therapies reach those in need. Our mission encompasses providing patient support programs...