Claims Operations Supervisor - Hybrid (Indianapolis, Indiana)

Claims Operations Supervisor - Hybrid (Indianapolis, Indiana)

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary The Claims Operations Supervisor provides day-to-day operational leadership for claims processing, adjudication, resolutions, adjustments, and mailroom functions. This role supports timely and accurate claim outcomes, monitors quality and productivity, assists with complex claims questions and escalations, and partners with internal teams to drive compliant, repeatable processes. The supervisor will identify trends, escalate risks, and recommend improvements to support operational excellence and service-level performance.

Your role in our mission Supervise daily claims and mailroom workflow, including assigning work, balancing priorities, and monitoring inventory to meet service-level targets. Provide subject-matter expertise and support analysts with complex claims questions, escalations, adjustments, and reprocessing scenarios. Track and report operational metrics including quality, timeliness, productivity, inventory, and remediation plans. Lead quality activities and ensure claims are processed accurately, consistently, and in compliance with procedures and plan guidelines. Partner with IT, business owners, finance, and operations teams on change requests, release readiness, issue resolution, and process improvements. Maintain procedures, job aids, and workflow documentation while supporting onboarding, training, coaching, and team development.

What we're looking for High school diploma or GED required; associate or bachelor's degree in business, finance, healthcare administration, or related field preferred. 5+ years of claims processing experience, including experience handling complex or escalated claims. Prior lead, supervisory, or informal leadership experience preferred. Working knowledge of claim forms, benefits, coordination of benefits, adjustments, reprocessing, and quality control practices. Proficiency with claims platforms, reporting tools, Microsoft Excel, and operational dashboards. Strong analytical, communication, documentation, coaching, and problem-solving skills with the ability to drive accountability and process.

What you should expect in this role Hybrid position requiring onsite support at 6612 E. 75th Street, Indianapolis, IN 46250, with collaboration across claims operations, finance, compliance, and leadership teams. Fast-paced, deadline-driven environment focused on claims accuracy, quality, service-level performance, and operational excellence. Regular interaction with leadership, internal stakeholders, and operational teams to support workflow management and issue resolution. Opportunities to support process improvements, operational initiatives, team development, and workflow optimization. Comprehensive benefits package including medical, dental, vision, 401(k) with company match, paid time off, and company-observed holidays.