<p>We are looking for a Medical Claims Supervisor to lead a dynamic team in Winston-Salem, North Carolina. This role requires a skilled leader with a strong background in healthcare claims and a commitment to driving performance while maintaining a supportive team environment. The ideal candidate will bring both industry expertise and leadership experience to help the department achieve its goals. This is an onsite position. </p><p><br></p><p>Responsibilities:</p><p>• Oversee the daily operations of a team handling healthcare claims inquiries and adjudications.</p><p>• Monitor performance metrics, including KPIs, to ensure the department meets its objectives.</p><p>• Provide guidance and support to team members, fostering growth and accountability.</p><p>• Address escalated claims-related issues and ensure timely resolution.</p><p>• Collaborate with team leads to implement strategies that enhance efficiency and service quality.</p><p>• Develop and maintain workflows for processing claims and customer service inquiries.</p><p>• Train and onboard new hires, ensuring they understand company policies and procedures.</p><p>• Maintain a cohesive team environment, balancing empathy with performance-driven management.</p><p>• Evaluate and improve processes related to CRM systems to optimize customer interactions.</p><p>• Coordinate with upper management to align departmental goals with organizational priorities.</p>

• Minimum of 3 years of leadership experience, preferably in healthcare claims or customer service.<br>• Strong understanding of healthcare claims processing, including Medicare supplements and adjudication.<br>• Demonstrated ability to manage performance metrics and drive accountability within a team.<br>• Familiarity with CRM systems and customer service best practices.<br>• Proven track record of developing and implementing operational improvements.<br>• Exceptional communication and interpersonal skills to effectively lead and support a team.<br>• Ability to handle escalated issues with professionalism and resolve them promptly.<br>• Experience in onboarding and training staff to ensure consistent service standards.

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