ZipRecruiter

Log In

1

Claims Associate Three Jobs in Kentucky (NOW HIRING)

PharMerica

Claims Processing Supervisor

Louisville, KY · On-site +1

The Claims Supervisor manages associates' assignments and work queues on a daily and weekly basis ... The ideal candidate will have 3+ years direct supervisory experience along with 3rd party billing ...

PharMerica

Claims Processing Supervisor

Louisville, KY · Remote

The Claims Supervisor manages associates' assignments and work queues on a daily and weekly basis ... The ideal candidate will have 3+ years direct supervisory experience along with 3rd party billing ...

next page

Showing results 1-20

All JobsClaims Associate Three JobsClaims Associate Three Jobs in Kentucky

Claims Associate Three information

Is claims processing a stressful job?

Claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. Claims associates often handle complex cases and must maintain attention to detail while managing customer expectations, which can contribute to job stress.

What is the role of a claims associate three?

A Claims Associate Three is responsible for reviewing, investigating, and processing insurance claims to ensure accurate and timely resolution. They often handle complex cases, communicate with clients and providers, and use claims management systems to document actions and decisions.

What is the difference between Claims Associate Three vs Claims Associate Two?

AspectClaims Associate ThreeClaims Associate Two
Required CredentialsHigh school diploma or equivalent; some roles may prefer relevant certificationsHigh school diploma or equivalent; entry-level position
Work EnvironmentOffice setting, handling complex claims, collaborating with teamsOffice setting, processing standard claims, customer interaction
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, claims processing centers
Common Search & ComparisonClaims Associate Three vs Claims Associate Two

The Claims Associate Three typically handles more complex claims and may require some experience or specialized knowledge, whereas the Claims Associate Two focuses on standard claims processing. The roles differ mainly in responsibility level and complexity, with Claims Associate Three often taking on more advanced tasks within the same industry environment.

What are popular job titles related to Claims Associate Three jobs in Kentucky? For Claims Associate Three jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Claims Associate Three jobs in Kentucky look for? The top searched job categories for Claims Associate Three jobs in Kentucky are:
What cities in Kentucky are hiring for Claims Associate Three jobs? Cities in Kentucky with the most Claims Associate Three job openings:
Claims Associate Three jobs near you
Infographic showing various Claims Associate Three job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 27% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Claims Processing Supervisor

BrightSpring Health Services

Louisville, KY • Remote

$67K - $75K/yr

Full-time

Re-posted 3 days ago

BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

220th of 239 rated social care providers

Job description

Overview

PharMerica, a part of Brightspring Health Services, is a long‑term care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States.
The Claims Supervisor manages associates' assignments and work queues on a daily and weekly basis, ensuring the timely resolution of claims, accurate billing, and the effective distribution of work to support operational efficiency.
This is a remote opportunity. Applicants can live anywhere within the Continental USA.
Night Shift Schedule: 10:00pm to 6:30am eastern. Must be able to work eastern time zone hours.
The ideal candidate will have 3+ years direct supervisory experience along with 3rd party billing/collections experience.
REQUIRED: Long-Term Care adjudication experience

Benefits and perks for You!   

  • Medical, Dental, Vision insurance   
  • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)   
  • Tuition discounts & reimbursement   
  • 401(k)
  • Company Paid Time Off*
  • Shift Differential
  • DailyPay
  • Pet Insurance
  • Employee wellness and discount programs

Responsibilities

• Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals, department wide goals, performance tracking and quality assessment audits.
• Establish and maintain professional and effective relationship with staff, peers, payers and other stakeholders.
• Provides associates assignments and work queues on a daily and/or weekly basis. Including resolution, billing, and appropriate distribution of work.
• Monitors quality of work performed by all associates, including interaction and compliance.
• Holds regularly scheduled meetings with staff to discuss performance metrics and ensure employees are on track to meet their goals.
• Report to Manager any trends occurring with payers and/or processes
• Updates staff with communications and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and insures compliance.
• Handles escalated calls from customers and payers to ensure proper resolution.
• Mentor and provide oversight of Team Leads and Associate II staff to insure they are adequately communicating staff training needs, shadowing staff when assigned, performing monthly quality assessment reviews, and taking a lead role in any special projects that may be assigned by Supervisor or Manager.
• Manages staff attendance and time sheets for payroll (Kronos) system. Assures staff is meeting attendance policies and reports any variations to Manager.
• In conjunction with feedback provided by Team Lead and/or Associate, monitor work performance including quality
• Ensure assignments are fair and balanced based on Team Lead/Associate level skills sets.
• Works to update, create and/or maintain Standard Operations Procedures for the department.
• Ensures Sarbanes Oxley (SOX) compliance on all variance, write-off and convert exception reports inclusive of adequate signatures are obtained.
• Proper storage of completed documents per Compliance policies.
• Performs other tasks as assigned.
• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
• Works to update, create and/or maintain Standard Operations Procedures for the department.


Qualifications

Education/Learning Experience
• Required: Associates degree, 4 year college , technical degree or 4+ years equivalent experience
Work Experience
• Required: 3+ years direct supervisory experience
• Desired: 3rd Party Billing or collections/billing experience in the healthcare industry, AS400 computer systems experience or Pharmacy Technician.
Skills/Knowledge
• Required: Proficiency in MS Office Products (Excel, Word) and Basic computer knowledge
• Required: Ability to maintain confidentiality
• Desired: AS400 Computer Systems Experience
Behavior Competencies
• Required: Excellent communication skills, both written and oral
• Required: Problem solving and detail oriented
• Required: Strong time management, organizational skills and self-starter
• Required: Strong attendance and leadership

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom