Claims Supervisor

Angle Health•San Francisco, CA

1d•Hybrid

About The Position

At Angle Health, we believe the healthcare system should be accessible, transparent, and easy to navigate. As an AI-native, integrated healthcare company, we are replacing legacy systems with modern infrastructure to deliver members and patients the care they need when they need it. If you want to build the future of healthcare, we'd love for you to join us. We are excited to grow our Operations team at Angle and are looking to bring on a new team member. We’re seeking a highly motivated individual with strong claim supervisory experience who wants to disrupt the health insurance industry. The Claim Supervisor's responsibilities include day-to-day oversight of a dedicated group of team members ensuring qualitative and quantitative metrics are met for every team member. You will be responsible to supervise, mentor, train and evaluate a team of claims processors and specialists. Successful candidates will have a passion for health insurance, superior claims processing and supervisory experience with a passion to make our members the priority. The ideal candidate will actively participate in building and growing the existing team feeling comfortable making tough decisions, nimble enough to move as our department and company evolves.

Requirements

Experience: Minimum of three to five years of experience in healthcare claims, including prior leadership or supervisory responsibilities.
Knowledge: Strong understanding of healthcare claims adjudication, medical terminology, and coding systems (ICD-10, CPT).
Startup Experience: Knowledge of and/or hands-on experience working in a startup environment.
Skills: Excellent leadership, problem-solving, analytical, and communication skills.
Proficiency in claims management software.
Google Drive and Google Sheets

Nice To Haves

VBA experience is a plus

Responsibilities

Team Leadership: Lead a team of dedicated professionals with a focus on delivering timely, high-quality claim outcomes.
Operations Oversight: Monitor daily claim processing activities to ensure established performance metrics and service-level standards are consistently met.
Quality Assurance: Ensure all claim processing complies with internal policies as well as state and federal regulations. Participate in control audits and implement corrective action plans as needed.
Documentation: Develop, write, and maintain resource documents to support team accuracy and serve as reliable reference materials.
Issue Resolution: Serve as an escalation point for complex or disputed claims, customer concerns, and provider inquiries, ensuring timely and professional resolution.
Process Improvement: Analyze claim data to identify trends and opportunities for operational enhancement; collaborate with the Head of Claims to implement prompt and effective solutions.
Training & Development: Create individualized training plans and collaborate with the team’s dedicated trainer to support continuous growth and development for each team member.