Supervisor, Complex Claims
$46.66k - $72.25kR1 RCM
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Supervisor, Complex Claims (Revenue Cycle Operations), you will help ensure daily execution, team accountability, and timely complex claims resolution for assigned client hospital accounts. Every day you will supervise and support team members in meeting productivity, quality, and revenue goals; monitor work queues, claims inventory, and performance metrics to address barriers and prioritize work; and provide hands‑on coaching, issue resolution, and escalation support for complex payers and claim challenges. To thrive in this role, you must be an organized, detail‑oriented frontline leader who can coach effectively, reinforce process adherence, and respond quickly to operational issues in a high‑volume environment. Here’s what you will experience working as our Supervisor, Complex Claims: Providing day‑to‑day leadership and coaching for Complex Claims team members Managing inventory and workflow priorities to support timely claim resolution and revenue realization Tracking productivity, aging, recovery, quality, and compliance metrics to identify trends and risks Reinforcing standardized workflows, payer guidelines, and compliance expectations through training and feedback Escalating systemic issues and recommending process improvements based on frontline observations Required Skills: Associate or Bachelor’s degree or equivalent combination of education and relevant experience 3–5 years of revenue cycle experience, preferably in complex claims, billing, appeals, or collections 1+ year of lead, acting supervisor, or people leadership experience preferred Working knowledge of payer processing, reimbursement methodologies, and claims resolution strategies Experience using analytics or reporting tools; Power BI exposure preferred For this US‑based position, the base pay range is $46,664.00 – $72,250.29 per year. Individual pay is determined by role, level, location, job‑related skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a target of 5.00%. The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package. ( R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at View phone number on click.appcast.io for assistance. CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( #J-18808-Ljbffr R1 RCM
$90k - $105k
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- ...government sector. While the role remains AR-based, it is more complex due to limited direct customer communication and a primary reliance... ...invoices for payment, resolving disputes, and processing claims through these portals. The specialist will collaborate closely...ClaimsFull timeContract workWork at officeFlexible hoursShift work
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$15k
...Bond Desk Adjuster PRIMARY PURPOSE : Handles losses and claims valued up to $15,000 for property and casualty insurers through... ...skills, legal and contractual knowledge and the ability to manage complex claims involving contractors, obligees, principals and...ClaimsFor contractorsWork at officeLocal area- ...Insurance Inland Marine / Transportation EGA PRIMARY PURPOSE : To handle losses or claims nationally regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account....ClaimsWork at officeLocal area
$20 - $22 per hour
...balances and credit card information is up to date. Insurance & Claims Coordination: • Verify patient insurance coverage, coverage... ...of Benefits (EOBs) and out-of-pocket costs. • Escalate complex insurance-related issues to the appropriate department for resolution...ClaimsHourly payFull timeWork at office$60.23k - $85k
...Financial Services & Insurance Workers Compensation Claims Examiner PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation... ...coding is correct. Refers cases as appropriate to supervisor and management. ADDITIONAL FUNCTIONS and RESPONSIBILITIES...ClaimsWork at officeLocal areaFlexible hours$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze... ...unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.comClaimsContract workWork at officeFlexible hours$23k - $28k
...benefits, cybersecurity, mortgage services—and more. Job Summary Claim Advocates handle the claim process from beginning to end,... ...Serve as contact for adjuster and insured for claim issues. Refer complex coverage questions to Risk Manager. Secure loss runs from carriers...ClaimsWork at office$75k - $80k
...Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage,...ClaimsWork at officeLocal areaFlexible hours$15k
...- Hawaii License Required PRIMARY PURPOSE Handles losses and claims valued up to $15,000 for property and casualty insurers through... ...caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com #J-18808-Ljbffr SedgwickClaimsWork at officeLocal area$89.17k - $142.68k
...Team Leader, Financial Reporting, you will oversee and support complex initiatives to ensure the timely and accurate preparation of financial... ...of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in...ClaimsLocal area$85k - $110k
...Claims Team Lead - General Liability | Remote (Evergreen) Primary Purpose To supervise... ...the teams including frequent diaries on complex or high exposure claims. Essential... ...to include two (2) years claims supervisor experience. Skills & Knowledge Thorough...ClaimsContract workWork at officeRemote workFlexible hours$69.92k - $133.62k
...Specialist , you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes coverage, recognize liability exposure and...ClaimsHourly payFull timeH1bLocal areaRemote workRelocationAfternoon shift$23.16 per hour
...and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards... ...industry standards. Monitors, reviews and analyzes various complex potential claims with emphasis on controlling losses through effective...ClaimsFor contractorsWork at officeLocal area- ...liaison between clients and insurance carriers to resolve escalated complex service issues that require policy interpretation and... ...May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues Responsible for overall retention of accounts...ClaimsTemporary workWork at officeLocal area3 days per week
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$59.06k - $90k
...Location US-UT-Salt Lake City Job Category Claims and Investigation Position Type Regular Full Time Req ID 43222 Overview... ...field or equivalent work experience Experience in handling complex or high-value claims Construction background Water...ClaimsFull timeWork experience placementWork at officeLocal areaRemote workWork from homeFlexible hours- ...team members and a track record of delivering some of the most complex and high-profile projects in the country - from semiconductor and... ...-wide risk management program - from insurance strategy and claims oversight to safety alignment and contract risk allocation. You...ClaimsWeekly payContract workFor contractorsFor subcontractorH1bLocal areaVisa sponsorshipWork visa
$16.75 - $21.75 per hour
...and adherence to process; participate in supervisor live-monitoring, QA reviews, and 1:1... ...medical documentation, revenue cycle, or claims, preferred Proven ability to meet daily... ...area Applies advanced skills to resolve complex problems independently May modify process...ClaimsHourly payContract workTemporary workWork experience placementLocal areaImmediate startRemote workMonday to FridayFlexible hours- ...Enrollment Supervisor The Enrollment Supervisor position plays a critical role in PEHP's efforts to serve and create value by ensuring... ...and testing of new groups and plans. Handles and resolves complex Enrollment related calls. Recommends and implements procedures...Work at office
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$52.6k - $86.8k
...Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range... ...will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials...ClaimsWork experience placementInternshipWork at officeLocal areaRemote workRelocation- A leading claims adjustment agency located in West Jordan, Utah, is seeking Independent Insurance Claims Adjusters to join their dynamic team. This role offers a chance to make a significant impact in people's lives by assisting with claiming processes following disasters...Claims
$55k
...We are seeking a customer-focused, detail-oriented supervisor to lead a team of 20-30 hourly support agents dedicated to delivering exceptional... ...issues as needed. Collaborate with Fleet teams to resolve complex cases and maintain service quality standards. Provide...Hourly payPart timeWork at officeWorldwide
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