Supervisor Claims Operations

JOB REQUIREMENTS: Description Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. Medica's Supervisor, Claims Operations provides day-to-day leadership for a team responsible for supporting the timely and accurate adjudication of medical claims across multiple lines of business. This position assigns and monitors work, coaches employees, manages team performance, and ensures operational, quality, and service expectations are consistently met. The Supervisor also serves as a claims subject matter resource, supports reporting and reconciliation activities, and identifies opportunities to improve operational efficiency and accuracy. Performs other duties as assigned. Key Responsibilities People Leadership Provide daily leadership and direction for a team of claims operations employees Assign and monitor work to ensure productivity, quality, and service expectations are met Conduct regular one-on-one meetings and provide ongoing coaching, feedback, and development support Manage employee timecards, scheduling, attendance, and time-off requests Monitor individual and team performance and address workflow, proficiency, quality, or performance concerns Promote employee engagement, collaboration, accountability, and an inclusive work environment Support hiring, onboarding, training, staffing, and performance management activities Ensure compliance with company policies, employment requirements, confidentiality standards, and applicable HR programs Claims Operations Review and approve claims that exceed processor authority based on established approval thresholds Monitor daily claim receipts, inventory, and workflows to support service-level and timeliness expectations Assist employees with escalated or complex claim issues Promote consistent and accurate claim adjudication across multiple lines of business Analyze claim trends and escalate discrepancies, anomalies, or potential risks to leadership Reporting, Monitoring, and Reconciliation Monitor incoming electronic data interchange volumes and clearinghouse performance Support daily reporting, tracking, and work distribution activities Prepare and complete operational reports used to monitor productivity, quality, and internal controls Lead claim payment... For full info follow application link. Equal Opportunity Employer including Veterans and Disabled Individuals ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/A37A6E2DF0DB4669