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Appeals Supervisor Jobs (NOW HIRING)

Independence Blue Cross

Supervisor Appeals

Philadelphia, PA · On-site

$22.25 - $27.50/hr

Position Summary The Appeals Supervisor oversees day-to-day operations of the administrative (non-clinical)appeals. This role ensures timely, accurate, and compliant processing of member and provider ...

Covenant Health

INSURANCE APPEALS ASSOC

Knoxville, TN · On-site

Notifies Appeals Supervisor or Revenue Integrity Manager when trends are identified while processing claim denial correspondence and follow-up of appeals. * Documents all activities in denials ...

Covenant Health

INSURANCE APPEALS ASSOC

Knoxville, TN · On-site

Notifies Appeals Supervisor or Revenue Integrity Manager when trends are identified while processing claim denial correspondence and follow-up of appeals. * Documents all activities in denials ...

City of New York

TPA Supervisor - Appeals Bureau

Bronx, NY · On-site

$70K - $80K/yr

In furtherance of this mission, the BXDA seeks experienced and enthusiastic TPA Supervisor to assist with post-conviction litigation, including direct appeals, motion responses, and federal writs of ...

Naveris

Reimbursement Specialist - Appeals

Waltham, MA · Remote

Job Responsibilities Reporting to the Reimbursement Supervisor - Back End, this role supports the Reimbursement department with a focus on claims denials, underpayments, and appeals resolution. This ...

Naveris

Reimbursement Specialist - Appeals

Waltham, MA · On-site +1

Job Responsibilities Reporting to the Reimbursement Supervisor - Back End, this role supports the Reimbursement department with a focus on claims denials, underpayments, and appeals resolution. This ...

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How much do appeals supervisor jobs pay per hour?

As of Jul 24, 2026, the average hourly pay for appeals supervisor in the United States is $24.94, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $28.85 per hour, depending on experience, location, and employer.

What are some common challenges faced by an Appeals Supervisor, and how can they be effectively managed?

Appeals Supervisors often navigate high volumes of complex cases while ensuring compliance with regulatory standards and organizational policies. Managing tight deadlines, resolving escalated disputes, and coordinating with cross-functional teams such as claims, legal, and customer service are frequent challenges. Effective time management, clear communication, and fostering a collaborative team environment are key strategies for success. Staying updated on regulatory changes and utilizing case management systems can also help streamline the appeals process.

What are the key skills and qualifications needed to thrive as an Appeals Supervisor, and why are they important?

To excel as an Appeals Supervisor, you need a solid understanding of claims processing, healthcare regulations, and appeals procedures, typically backed by experience in healthcare administration or a related field. Familiarity with claims management systems, appeals tracking software, and knowledge of HIPAA and regulatory compliance is crucial. Strong leadership, problem-solving abilities, and excellent communication skills help you manage teams and resolve complex cases effectively. These competencies ensure timely, accurate resolution of appeals, maintain compliance, and support team performance in a highly regulated environment.

What is an appeals supervisor?

An appeals supervisor is a managerial role responsible for overseeing the review and resolution of appeals related to decisions made by an organization, such as insurance claims or benefits. They coordinate staff, ensure compliance with policies, and may analyze cases to improve processes, often requiring strong leadership and knowledge of relevant regulations.

What skills do you need to be an appeals specialist?

Appeals specialists need strong analytical skills to review cases accurately and attention to detail to ensure proper decision-making. Good communication skills are essential for explaining decisions clearly to claimants and collaborating with team members. Familiarity with relevant policies, computer proficiency, and the ability to work under deadlines are also important for success in this role.

What is the career path of a supervisor?

The career path of an Appeals Supervisor typically involves gaining experience in case review, customer service, and leadership roles within the organization. Advancement can lead to higher management positions such as Appeals Manager, Program Director, or other executive roles, often requiring additional certifications or specialized training. Developing skills in conflict resolution, policy interpretation, and team management is essential for progression.

What does an appeal specialist do?

An appeal specialist reviews and processes appeals related to denied claims, benefits, or decisions within an organization. They analyze case details, gather supporting documentation, and communicate with claimants or stakeholders to resolve issues accurately and efficiently, often using case management systems. Strong attention to detail and knowledge of relevant policies are essential for this role.

What is the difference between Appeals Supervisor vs Claims Adjuster?

CriteriaAppeals SupervisorClaims Adjuster
Required credentialsBachelor's degree, industry certifications (e.g., CPC, AIC)Bachelor's degree, licensing (state-specific)
Work environmentSupervisory role overseeing appeals teamsIndividual case evaluation in insurance companies
Employer & industry usageInsurance companies, government agenciesInsurance companies, third-party administrators
Common search intentUnderstanding managerial roles in appealsEvaluating insurance claims and settlements

The Appeals Supervisor typically oversees the appeals process within insurance or government agencies, requiring leadership skills and industry certifications. In contrast, Claims Adjusters focus on evaluating individual insurance claims, often working directly with policyholders. While both roles operate within the insurance industry, the Appeals Supervisor has a supervisory and strategic focus, whereas Claims Adjusters handle case-by-case assessments.

What job categories do people searching Appeals Supervisor jobs look for? The top searched job categories for Appeals Supervisor jobs are:
Appeals Supervisor jobs near you
Infographic showing various Appeals Supervisor job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 7% Part Time, 2% Contract, and 1% Summer. Highlights an 79% Physical, 6% Hybrid, and 15% Remote job distribution, with an average salary of $51,871 per year, or $24.9 per hour.
Eligibility Appeals Supervisor

Eligibility Appeals Supervisor

Virginia Department of Human Resource Management

Richmond, VA • On-site

$118K - $130K/yr

Full-time

Posted 3 days ago

Virginia Alcoholic Beverage Control Authority rating

4.9

Company rating: 4.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

692nd of 703 rated public administrative organizations

Job description

Eligibility Appeals Supervisor
Job no: 5108160
Work type: Full-Time (Salaried)
Location: Richmond (City), Virginia
Categories: Health and Human Services
Title: Eligibility Appeals Supervisor
State Role Title: Hearing Legal Servcs Mgr II
Hiring Range: $118,739 - $130,777
Pay Band: 6
Agency: Dept of Med Assistance Svcs
Location: Dept of Medical Asst Services
Agency Website: www.dmas.virginia.gov
Recruitment Type: General Public - G
Job Duties
The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Eligibility Appeals Supervisor in the Appeals Division.
Job responsibilities will include, but are not limited to:
Motivate and manage a team of hearing officers within the Appeals Division to process and adjudicate client eligibility appeals.
Direct the activities of the team, while providing hands on support to manage the team's workload and ensure quality output.
Occasionally serve as a hearing officer to review and adjudicate client eligibility appeals.
Ensure team members are trained and continuously growing in their skills.
Support the sustainment of a culture of teamwork and high expectations for employees.
Work collaboratively with the Appeals Hearing and Decision Manager and other leaders in the Appeals Division to ensure continuity of operations and continuously improve processes and
procedures.
Provide excellent customer service, treating everyone who interacts with the Division with respect and dignity; ensure every appellant receives full due process; support a collaborative and positive work environment; and produce a quality work product.
The business needs for this position have in office requirements to include but are not limited to attending in-person hearings, meetings, training, and occasional conferences.
Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/
The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high-quality health care coverage.
DMAS wants talented individuals who can align their experience with the mission of the agency and its core values - service, collaboration, trust, problem solving and adaptability.
At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.
Minimum Qualifications
Competitive candidates will meet these minimum qualifications:
Considerable experience independently leading a team to meet established time frames.
Considerable work-related experience applying rules to facts to reach logical, legally supportable conclusions.
Considerable knowledge of administrative law and / or appeals procedures.
Considerable knowledge of legal research methodologies, including computerized legal research.
Considerable experience with technology, including MS Office.
Considerable experience interpreting, applying, and analyzing federal and state complex laws, regulations, policies, or case law.
Considerable experience in managing competing priorities and meeting deadlines.
Considerable experience with internal and external stakeholders.
Considerable experience in legal analysis and legal writing.
Additional Considerations
Competitive candidates should meet these additional considerations:
Admission to the Virginia State Bar in good standing.
Experience drafting appeal decisions.
Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.
The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E-Verify Program.
The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth's Department of Human Resource Management Policy 1.61 Teleworking. This position could be expected to work in the office as driven by business needs.
Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need. The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee.
This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.
This position requires the submission of a Statement of Economic Interest (financial disclosure).
If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically through this website. Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.
Applications and/or resumes should include relevant work history which indicates your qualifications for this position.
The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce.
In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth's Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter, use this link: https://www.dars.virginia.gov/drs/cpid/PWContact.aspx or call DARS at 800-552-5019, or DBVI at 800-622-2155
From July 1, 2026, through January 21, 2029, applicants who were involuntarily separated from employment with the Federal Government on or after January 1, 2025, due to a reduction in force, budget reduction, or workforce restructuring initiative may be eligible for HB494 Federal Employee Priority Consideration. Applicants seeking HB494 Federal Employee Priority Consideration must identify themselves within the state application process and provide supporting documentation, including a Standard Form 50 (SF-50), verifying their eligibility.
The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29, (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member, DMAS encourages you to apply and respond accordingly on your state application.
Contact Information
Name: DMAS Talent Acquisition
Phone: 804 - 225 - 4407
Email: askhcdtalentacq@dmas.virginia.gov
In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
Advertised: 21 Jul 2026 Eastern Daylight Time
Applications close: 04 Aug 2026 Eastern Daylight Time
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