Supervisor of Complex Claims
Virtual Vocations Inc
Supervising a team of Complex Claims professionals, the full-time Supervisor of Complex Claims will ensure daily execution and timely resolution of complex claims for client hospital accounts while working remotely. Key responsibilities 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 Required qualifications 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
$46.66k - $72.25k
...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...ClaimsLocal area$80k - $100k
...A leading claims management firm is seeking an experienced General Adjuster to investigate insurance claims and negotiate settlements... ...will have strong communication skills and the ability to manage complex claims. The position offers a competitive salary range of $80,0...ClaimsRemote work- ...A leading risk and claims administration partner in Virginia is seeking Specialty Loss Adjusters to join their team. You will handle complex claims with a variety of clients and receive ongoing training in the industry. Ideal candidates possess insurance claims experience...ClaimsFlexible hours
- James River Insurance Company is seeking a Senior Claims Examiner in Richmond, Virginia. This role requires managing a moderate to high complexity caseload of P&C insurance claims, performing coverage and liability analysis, and providing technical guidance to team members...Claims
- Liberty Mutual Insurance is seeking a Senior Claims Specialist in Meridian, Idaho. This role involves reviewing and processing moderately complex to complex insurance claims, negotiating settlements, and coordinating litigation activities to ensure timely resolutions....Claims
$80.61k - $132.44k
...Guardian Life Insurance Company is seeking a Senior Individual Disability Claims Specialist in Pittsfield, MA. This role allows for remote work while handling complex claims and providing outstanding customer service. Candidates should have over 5 years of experience...ClaimsRemote work- AXA XL is looking for a Claims Specialist based in Hartford, CT. The role involves managing complex insurance claims and collaborating with various teams to achieve optimal outcomes. The ideal candidate will have deep industry knowledge and strong negotiation skills. This...Claims
- ...A leading insurance provider is looking for a Senior Claims Consultant to manage and resolve complex insurance claims. This role requires expertise in Surety Claims and Construction Litigation, as well as a JD preferred. The position offers opportunities for professional...ClaimsRemote work
- AXA Group is seeking a Claims Specialist for their Property division in Hartford, CT. This role involves managing and evaluating complex insurance claims, driving them to resolution while collaborating closely with stakeholders and the underwriting team. The ideal candidate...Claims
- Frontline Insurance is seeking a Complex Property Claims Adjuster to join their team remotely in Tampa, Florida. In this role, you will handle various claims, applying your knowledge of insurance regulations and claims practices. With a strong commitment to their core values...ClaimsRemote job
- A growing insurance company in Nashville is seeking a Property General Adjuster to investigate and settle complex property insurance claims. The ideal candidate will have at least 7 years of property claim handling experience and strong communication skills. Responsibilities...Claims
- ...behalf of a partner company. We are currently looking for a Supervisor, OSM in the United States. This role is a key... ...environment, focused on ensuring the efficient resolution of complex medical claims and client issues. You will supervise a team responsible for...ClaimsRemote jobFull timeWork at office
$170k - $200k
...strengthening governance, risk management, and control frameworks across a complex insurance business. The position offers significant... ...opportunity to lead high-impact audits across underwriting, claims, operations, and corporate functions. Key Responsibilities:...ClaimsPermanent employment- James River Group, Inc. seeks a Senior Claims Examiner to manage complex P&C insurance claims. This role involves analyzing coverage, investigating allegations, and negotiating settlements while ensuring compliance with regulations. Candidates must have at least three years...ClaimsH1b
$126k - $155k
...Complex General Liability Claims Specialist Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Complex General Liability Claims Specialist to support our New York Labor Law team. Responsibilities Identifying potential risks...Claims- ...insurance coverage, litigation, and strong research and writing skills. Responsibilities include representing insurers in complex coverage claims and preparing coverage opinions. The firm provides competitive compensation and a comprehensive range of benefits including...Claims
- ...and Casualty Insurance Group is seeking a Senior Auto Adjuster in Chesapeake, VA. In this full-time role, you will manage complex auto insurance claims, ensuring compliance with laws and delivering top-notch service. The position requires you to be in the office three...ClaimsFull timeWork at office3 days per week
- ...process. This role oversees a team of specialists to ensure accurate claim submissions, payment collections, compliance with payer and... ...escalated issues related to front-end denials, payer rejections, and complex reimbursement discrepancies. Oversee setup and maintenance of...ClaimsFull timeLocal areaFlexible hours
$69.92k - $133.62k
AlphaStaffHCM is seeking a dedicated Field Property Adjuster Specialist in Dallas, Texas to manage complex property insurance claims. You will investigate claims, negotiate settlements, and utilize technology for virtual inspections. The role requires a high school diploma...Claims- Philadelphia Insurance Companies is seeking a Claims Specialist - Property to evaluate and settle complex commercial insurance property claims. This role involves thorough investigation of claims, communication with relevant parties, and may require travel for customer...Claims
- ...ELIGIBILITY SUPERVISOR - SES - 60050239 This position will be located at the Pensacola,... ...credit, processing insurance policies or claims or providing customer service. OR have an... ...unit Ability to interpret and apply complex information concerning policies and procedures...ClaimsWork at officeLocal area
- ...Returns And Warranty Supervisor As a part of the global industrial organization Marmon... ...Act as point of contact for escalated or complex cases Ensure issues are resolved quickly... ...volume, turnaround time, and warranty claims Identify trends and recurring issues...Claims
- ...supervision to the Project Manager/ROW Supervisor. The Lead Right of Way Agent assures... ...prepares special agent's reports relative to complex negotiations for easements, damage... ...tenant on ownership, easement rights, damage claims, and access issues. Effectively use...ClaimsContract workTemporary workWork at officeRelocation
$124k - $160k
...Selective Insurance in Branchville, NJ, is hiring a Complex Claims Specialist for a remote position focusing on management liability claims such as D&O and EPL. The role involves evaluating and resolving coverage issues, negotiating claims, and ensuring compliance with...ClaimsRemote work- ...Medicaid Fraud Supervisor Under the direction of the Chief of Investigations in the Medicaid... ..., querying, and researching Medicaid claims data and related health care claims... ...with the compiling, analysis, and audit of complex financial records and data to support investigation...ClaimsWork at office
- ...POSITION SUMMARY: This Coding Supervisor (CS) supervises and directs medical coders with... ...Coder III to provide guidance, escalate complex coding issues, and ensure alignment of... ...and authorization requirements to ensure claims are billed and coded accurately. The...ClaimsWork experience placement
- ...Auto Material Damage Supervisor US-MI-Lansing Job ID: 2026-8656 # of Openings: 1 Category: Claims Farm Bureau Center Overview Auto Material Damage Supervisor... ...tort claims, and work toward resolution of complex issues and complaints from the AMD Team....ClaimsWork at office
- ...CITON Claims Solutions, LLC stands out as a leading provider of claim management and administration services tailored specifically for... ...innovation and growth. Join our team as a Claims Examiner - Complex! ABOUT THE ROLE: Are you a detail-oriented claims...ClaimsWork at office
- A leading insurance firm is seeking a Workers’ Compensation Claims Supervisor to manage a team of Claims Representatives. The role is focused on oversight and support of complex claims management, offering remote opportunities for candidates in specific states. Ideal candidates...ClaimsRemote work
- ...production to improve workflow processes. Assist staff in resolving complex member issues; meet with staff to discuss workflows, process... ...appropriate. When necessary, partner with Provider Relations, Claims, and Member Services unit to align call handling standards,...ClaimsContract workWork at office
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