Supervisor Service Operations - Claims

Blue Cross of Idaho•Meridian, ID

About The Position

Supervisors in our Claims team develop procedures in support of operational effectiveness, customer service goals and objectives. Support initiatives to increase provider and member satisfaction. Oversee analysis of key performance metrics to identify areas in need of training and improvement, as well as the identification of potential workflow improvements. We're seeking a Supervisor Service Operations with: Required Experience: 5 years’ prior relevant experience. Previous experience in claims processing and/or health insurance operations is preferred. Education: None specifically required, though Associate or Bachelor degree is desired. Provide day-to-day oversight of assigned functional areas, ensuring work is completed accurately, timely, and efficiently Analyze key performance metrics to identify trends, training opportunities, and workflow improvements Lead and support process improvement initiatives, translating insights into actionable outcomes Develop and refine departmental policies, procedures, service standards, and workflows Partner with leadership to design and maintain reporting that supports operational and strategic decisions Ensure effective workflows and maximize system efficiencies while maintaining quality performance standards Provide consistent leadership through regular 1:1s, team meetings, and touchpoints that drive accountability, engagement, and development Coach, mentor, and develop staff—creating a culture of ownership, growth, and continuous learning Support goal-setting efforts for the team and department Participate in internal and external audits as needed Perform other duties as assigned What I'm Looking For: An analytical mindset – someone who naturally questions the “why,” connects data points, and uses insights to drive decisions Confident decision-making – not afraid to make informed calls, even when all the answers aren’t perfectly laid out Strong leadership presence – prioritizes meaningful 1:1s, effective team meetings, and consistent communication Operational thinker – able to balance people, process, and performance without losing sight of the big picture Continuous improvement mindset – actively seeks opportunities to improve workflows, reduce friction, and elevate team performance As of the date of this posting, a good faith estimate of the current pay range is $66,353 to $92,894. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer. We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program. We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies. Reasonable accommodations To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Blue Cross of Idaho has taken our role as an Idaho-based health insurance company to heart since 1945. As a not-for-profit, we are driven to help connect Idahoans to quality and affordable healthcare while building strong networks and services. We aim to create a brighter future for all with the help of customer-centric professionals. Your Health and Wellness Matters At Blue Cross of Idaho, we care about the health and well-being of our employees. Our benefits aim to help make your life easier, healthier and more balanced. Your Career Development Matters We believe in employee growth, which is why we offer training, tools and numerous resources to assist with professional development. Your Community Matters Our employees care deeply about Idaho. We work together to positively impact communities throughout Idaho, and contribute our time through volunteering. Blue Cross of Idaho will extend reasonable accommodations to qualified individuals with disabilities who are otherwise not able to fully use electronic and online job application systems. For assistance, please send an email to BCIHRRecruiter@bcidaho.com. Equal Opportunity is the Law EEO is the Law Supplement E-Verify Pay Transparency

Requirements

5 years’ prior relevant experience

Nice To Haves

Previous experience in claims processing and/or health insurance operations is preferred.
Associate or Bachelor degree is desired.
An analytical mindset – someone who naturally questions the “why,” connects data points, and uses insights to drive decisions
Confident decision-making – not afraid to make informed calls, even when all the answers aren’t perfectly laid out
Strong leadership presence – prioritizes meaningful 1:1s, effective team meetings, and consistent communication
Operational thinker – able to balance people, process, and performance without losing sight of the big picture
Continuous improvement mindset – actively seeks opportunities to improve workflows, reduce friction, and elevate team performance

Responsibilities

Provide day-to-day oversight of assigned functional areas, ensuring work is completed accurately, timely, and efficiently
Analyze key performance metrics to identify trends, training opportunities, and workflow improvements
Lead and support process improvement initiatives, translating insights into actionable outcomes
Develop and refine departmental policies, procedures, service standards, and workflows
Partner with leadership to design and maintain reporting that supports operational and strategic decisions
Ensure effective workflows and maximize system efficiencies while maintaining quality performance standards
Provide consistent leadership through regular 1:1s, team meetings, and touchpoints that drive accountability, engagement, and development
Coach, mentor, and develop staff—creating a culture of ownership, growth, and continuous learning
Support goal-setting efforts for the team and department
Participate in internal and external audits as needed
Perform other duties as assigned