Senior Claims Processing Supervisor (Remote)

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Claims Processing Supervisor (Remote). In this role, you will have the opportunity to make a significant impact by overseeing the Medicaid and State funded claims processing services. You will collaborate closely with various departments and the provider network to resolve any claims-related issues. Your leadership will be crucial in maintaining high standards in claims adjudication and training staff. This position is essential for ensuring efficient operations and enhancing the overall workflow of the claims process.

• Lead and enhance the Medicaid and State funded claims processing services.
• Collaborate with Claims Processing Assistants and various internal departments.
• Engage in all aspects of claims adjudication and reporting.
• Train staff on essential claims processing duties.
• Maintain a comprehensive understanding of the operational claims system.

• High School diploma/GED with six years of relevant experience; or an Associate’s degree with four years of experience.
• Valid driver’s license and must reside within North Carolina.
• Experience in claims processing, particularly with State-funded and Medicaid claims is a plus.

• Flexible working hours with management approval.
• Work-from-home options available for most positions.
• Health Insurance with no premium for employee coverage.
• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year.
• 401k with 5% employer match and immediate vesting.
• Quarterly stipend for remote work supplies.

Why Apply Through Jobgether?

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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