Claims Supervisor

Centene Corporation

Supervisor managing day-to-day operations in health insurance claims processing. Leading staff and ensuring compliance with regulations and quality standards.

Posted 7/30/2026full-timeRemote • Arizona, Montana, New York, North Carolina • 🇺🇸 United StatesJuniorMid-Level💰 $27 - $49 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims processing and operational management within the health insurance industry, with a focus on regulatory compliance and quality assurance. Proven ability to lead teams, develop policies, and drive improvements in claims operations.

Highest-signal resume keywords

Claims ProcessingRegulatory ComplianceTeam LeadershipQuality AssuranceOperational Improvement

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ManagementPolicy DevelopmentData AnalysisRoot Cause AnalysisReporting

Soft Skills

Problem SolvingCommunicationLeadership

Industry Keywords

Health InsuranceMedicaidMarketplaceMedicareClaims Quality Review

About the role

Key responsibilities & impact

Oversee the day-to-day work functions of the assigned claims area
Provide technical and leadership support to staff to resolve complex issues
Develop and implement policies and procedures that comply with state and federal regulations
Help to identify opportunities for improvements and resolve operational gaps/problems with a financial, regulatory, cost/benefit and stakeholder experience
Serve as a point of escalation for complex claims
Monitor claims quality reviews for accuracy, document results and identify trends and systemic root cause analysis
Prepare reporting, analysis and insights that is consistent with defined standards to drive operational excellence
Maintain appropriate records, files, documentation, etc.

Requirements

What you’ll need

Associate degree in related field or equivalent experience required
2+ years of health insurance industry, claims processing, physician’s office or other office services experience required
Previous experience in a supervisory/lead role with defined outcomes required
Experience with Medicaid, Marketplace and/or Medicare preferred

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules