Claims Supervisor
CentivoEmployer Health company
BuffaloManager
Bain Capital Ventures
Bessemer Venture Partners
F-Prime Capital Partners
Maverick Ventures
Ingleside Investors
Rand Capital
Operations & Strategy
About the role
TL;DR
Supervise claims processing team, ensuring accuracy, efficiency, and compliance with benefit plans.
- •Centivo is seeking a Claims Supervisor to lead a team of Claims Processors, ensuring accurate and efficient claims processing for employer-sponsored health plans.
- •This role sets productivity benchmarks, enforces quality standards, and drives continuous improvement.
- •Key Responsibilities Ensures that claims are processed and paid in accordance with benefit plans, pricing agreements, and required authorizations.
- •Manages the inventory of claims against standard service level agreements (SLA’s).
- •Educates and mentors claims staff to ensure proper application of client benefit plans.
- •Provides reports to department leaders on claim inventory, production, turn-around lag, and quality metrics.
- •Develops policy and procedures to ensure that benefit plans and claim standards are properly administered.
- •Requirements Thorough understanding of insurance policies, claims handling processes, and legal requirements associated with claims.
- •Strong leadership and team management skills.
- •Ability to analyze claims data and make informed decisions.
- •At least 3 years of experience with self-funded health care plans and processing in a TPA environment.
- •At least 3 years of experience supervising a claims team.
Domain expertise
insurtechhealthcare
Benefits & perks
free primary care, predictable copay, no-deductible benefit plan design
