Claims Services Supervisor-PA

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As a Claims Services Supervisor-PA at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details of this position.

Your role in our mission

• Supervise and coordinate activities of claims representatives, examiners, and support staff.
• Monitor workloads, workflows, and productivity to ensure timely and accurate claims processing.
• Review claims for accuracy, completeness, and adherence to policy guidelines.
• Provide training, coaching, and performance evaluations for claims team members.
• Serve as an escalation point for complex or disputed claims and ensure resolution in a timely manner.
• Develop and implement procedures to improve efficiency, quality, and customer satisfaction.
• Collaborate with other departments (e.g., underwriting, legal, customer service) as needed.
• Maintain knowledge of industry regulations, insurance policies, and best practices.
• Generate reports on claims performance, trends, and operational metrics.
• Ensure compliance with state, federal, and organizational requirements.

What we're looking for

• Bachelor's degree or equivalent combination of education and experience
• Bachelor's degree in business administration, insurance or related field preferred
• Six or more years of claims experience
• Two or more years of leadership experience
• Experience working with proper claims handling, policies and procedures
• Experience working with computer based analysis tools
• Experience working with insurance and/or medical terminology

What you should expect in this role

• On-site location is Camp Hill, PA.
• To effectively work as a teleworker with Gainwell, employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8MBS upload.
• Candidates must live in the Camp Hill, PA area or in a 50-mile radius of Camp Hill, PA.

#LI-ONSITE #LI-JW1

The pay range for this position is $50,600.00 - $72,300.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition) age, sexual orientation, status as a protected veteran, status as an individual with a disability or other applicable legally protected characteristics .