Supervisor, Claims

Centene
Missouri
Workplace: RemoteFull timeUSD 56,200 - 101,000 annuallyFunction: Insurance & ActuarialExperience: 2+ yearsEducation: associatesSkills: ["Leadership","Process improvement","Problem-solving","Stakeholder management","Escalation management"]

Oversee the day-to-day operations of a claims area, providing technical and leadership support to resolve complex medical claims. Develop policies and procedures aligned with state and federal regulations, ensure claims inventory is accurate and compliant, and prioritize daily work volumes through reporting and load balancing. Serve as escalation point, monitor quality reviews and identify trends, prepare reporting and insights for operational excellence, and support special projects and continuous improvement initiatives.

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FursaFursa
Centene
Centene
3 days ago

Supervisor, Claims

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Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 2 hours agoStatus: Live
Reposted: similar role first listed 5 months ago

Job Summary

Oversee the day-to-day operations of a claims area, providing technical and leadership support to resolve complex medical claims. Develop policies and procedures aligned with state and federal regulations, ensure claims inventory is accurate and compliant, and prioritize daily work volumes through reporting and load balancing. Serve as escalation point, monitor quality reviews and identify trends, prepare reporting and insights for operational excellence, and support special projects and continuous improvement initiatives.
Location: Missouri
Workplace: Remote
Employment Type: Full time
Job Function: Insurance & Actuarial
Seniority: Manager level

Key Responsibilities

  • •Oversee day-to-day functions of the assigned claims area and provide technical and leadership support to staff to resolve complex issues.
  • •Develop and implement policies and procedures that comply with state and federal regulations.
  • •Ensure claims inventory is managed accurately, timely, and within internal and regulatory compliance requirements.
  • •Prioritize daily work volumes using reporting, load balancing, and managing operational overtime costs.
  • •Review, investigate, adjust, and resolve pending claims, especially complex claims, serving as an escalation point.

Pay and Benefits

Salary: USD 56,200 - 101,000 annually
Equity and Bonus:Equity
Perks:Health Insurance401kEquityPaid LeaveRemote Work

Key Requirements

  • •Associate degree in a related field or equivalent experience.
  • •2+ years of health insurance industry and claims processing experience, including physician’s office or other office services.
  • •Previous supervisory/lead experience with defined outcomes.
  • •Experience with Medicaid, Marketplace and/or Medicare (preferred).
  • •Ability to oversee complex claims, quality reviews, and operational compliance processes.
Experience:2+ yearsHealth insuranceClaims processingMedicaidMedicarePhysician services
Education:Associate's
Skills:LeadershipProcess improvementProblem-solvingStakeholder managementEscalation management

Eligibility

Work Authorization:Authorization required. Sponsorship not provided.

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn