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Medical Claims Supervisor Jobs (NOW HIRING)

Hankey Group External

Claims Supervisor

Los Angeles, CA · On-site

$75K - $98K/yr

As a Claims Supervisor at Knight Insurance Group, you will manage and lead a team of Personal Auto ... Medical, Dental, Vision, Supplemental Life Insurance, LTD, and Flexible Spending Account * 401K and ...

The Hankey Group

Claims Supervisor

Los Angeles, CA · On-site

$75K - $98K/yr

As a Claims Supervisor at Knight Insurance Group, you will manage and lead a team of Personal Auto ... Medical, Dental, Vision, Supplemental Life Insurance, LTD, and Flexible Spending Account * 401K and ...

GT Independence

Medical Billing (Claims) Supervisor

$60K/yr

The Medical Billing (Claims) Supervisor is responsible for the supervision, training and development of a team of Medical Claims Specialists. The Medical Billing (Claims) Supervisor manages the ...

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Medical Claims Supervisor information

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$35K

$87.9K

$139K

How much do medical claims supervisor jobs pay per year?

As of Aug 27, 2026, the average yearly pay for medical claims supervisor in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What does a medical claims supervisor do?

A Medical Claims Supervisor oversees the processing of medical insurance claims within a healthcare organization or insurance company. They manage a team of claims processors, ensure claims are reviewed and adjudicated accurately, and maintain compliance with regulations and company policies. Their responsibilities also include training staff, handling escalated claims issues, and ensuring that claims are processed efficiently to support timely payments. They work closely with other departments to resolve discrepancies and improve workflow processes.

What are the key skills and qualifications needed to thrive as a medical claims supervisor, and why are they important?

To thrive as a Medical Claims Supervisor, you need a strong understanding of health insurance claims processing, regulatory compliance, and staff management, typically backed by experience in medical billing or insurance administration. Familiarity with claims management software, electronic health record (EHR) systems, and industry certifications such as Certified Professional Coder (CPC) are common requirements. Excellent leadership, problem-solving, and communication skills help you effectively lead teams and resolve complex claim issues. These abilities are critical for ensuring timely, accurate claims processing and maintaining high service standards within the organization.

What are some common challenges faced by medical claims supervisors, and how can they be managed effectively?

Medical Claims Supervisors often encounter challenges such as handling high volumes of claims, ensuring accuracy in claim processing, and navigating complex insurance regulations. They must also manage and mentor a team, addressing performance issues or training needs promptly. Effective communication, strong organizational skills, and staying updated with regulatory changes are crucial for overcoming these challenges and maintaining a productive work environment.

What is the difference between Medical Claims Supervisor vs Medical Claims Examiner?

AspectMedical Claims SupervisorMedical Claims Examiner
CertificationsTypically requires CPC or similar credentialsOften requires CPC or equivalent certification
Work EnvironmentSupervises claims processing teams in healthcare or insurance companiesReviews and processes individual medical claims in healthcare or insurance settings
Employer & IndustryHealthcare providers, insurance companies, third-party administratorsInsurance companies, healthcare providers, government agencies
Search & Comparison IntentUnderstanding managerial roles in claims processingUnderstanding claims review and processing tasks

The main difference is that Medical Claims Supervisors oversee teams and manage claims processing operations, while Medical Claims Examiners focus on reviewing and evaluating individual claims for accuracy and compliance. Both roles often require similar certifications and work within healthcare or insurance industries, but their responsibilities differ in scope and level of supervision.

More about Medical Claims Supervisor jobs

What cities are hiring for Medical Claims Supervisor jobs?

Cities with the most Medical Claims Supervisor job openings:

What states have the most Medical Claims Supervisor jobs?

States with the most job openings for Medical Claims Supervisor jobs include:

What job categories do people searching Medical Claims Supervisor jobs look for?

The top searched job categories for Medical Claims Supervisor jobs are:

Medical Claims Supervisor jobs near you
Infographic showing various Medical Claims Supervisor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.

Medical Claims Supervisor

Gastonia, NC • On-site

Kintegra Health
Health Care and Social Assistance • 51 - 200 employees

6.4

Company rating: 6.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Learn more about Kintegra Healthexternal

Full-time

Medical, Vision

Posted 16 days ago

Job description

Job Summary and Specifications 


Job Title: Medical Claims Supervisor 

FLSA Status: Exempt

Salary Range: See Pay Scale 

Job Summary: The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories, researching claim issues, and ensuring timely and accurate adjudication of claims in accordance with health plan benefits, provider contracts, regulatory requirements, and internal performance standards. The position reports directly to the Director of Finance. This position works closely with claims operations, finance, compliance, quality, IT, provider relations, member services, contracted providers, facilities, vendors, and leadership to ensure accurate and timely processing of claims and resolution of claims-related issues.
 Specifications

Education: Bachelor's degree preferred; associate degree in healthcare administration, business administration, health information management, medical billing and coding, or related field preferred.

Experience: Minimum five years of experience in medical claims processing, claims adjudication, health plan operations, payer operations, or provider billing. Experience monitoring claims inventories, denied claims, payer worklists, and claims processing workflows. At least 1 years experience working with the frail elderly population. 

Number and Type of Employees Supervised (optional): 2-4 employees. 

Licensure, Registry or Certification Required: None 

Special Training: Meet a standardized set of competencies for the specific position description established by Senior TLC, Inc. and approved by CMS before working independently. Working knowledge of health insurance operations, claims adjudication, benefit interpretation, provider contracts, denials, reconsiderations, and appeals. Familiarity with CPT, ICD-10, HCPCS, Medicare, Medicaid, managed care plans, electronic claims systems, and payer portals.

 Immunizations: Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact

Ages of Patients Rendered Care: 

 Neonate/Infant Early Childhood Adolescent Adult Geriatric All Age Groups

Key Responsibilities: (*denotes an age-related skill or task)

· Supervise the Medical Authorization team and processes.

· Monitor claims adjudication queues, pending claims inventories, suspended claims, denied claims, corrected claims, and claims requiring manual review.

· Review claim status, member eligibility, benefit coverage, provider contract terms, coding information, claim edits, and supporting documentation to determine why claims are pending, delayed, denied, or not processing correctly.

· Research and resolve claims discrepancies including payment variances, benefit application issues, duplicate claims, coding errors, provider setup concerns, system edits, and member eligibility issues.

· Follow up with providers, facilities, vendors, claims processors, and internal departments to obtain necessary information and facilitate claim resolution.

· Document claims research, follow-up activities, communication, actions taken, escalation steps, and claim outcomes within health plan systems.

· Maintain tracking logs and reports for pending claims, aged claims, denial trends, turnaround times, and unresolved claims requiring management attention.

· Escalate complex or high-priority claims issues to leadership as appropriate.

· Assist with claims reprocessing, reconsideration requests, appeals, provider inquiries, member inquiries, and internal or external audits.

· Monitor compliance with health plan policies, claims processing standards, HIPAA requirements, and applicable Medicare, Medicaid, and managed care regulations.

· Collaborate with operations, compliance, finance, quality, and IT teams to identify workflow improvements and resolve recurring claims issues.

· Prepare and submit monthly reinsurance reports.

· Submit monthly outstanding inpatient claims reports for accrual processing.

· Monitor and resolve participant bills related to medical claims processing.

· Monitor key performance indicators (KPIs), claims inventory metrics, denial trends, turnaround times, and productivity measures.

· Supports Senior TLC’s mission to encourage and support the quality of life of seniors wishing to continue living in the community; its vision to be the preferred provider of individualized care for seniors in the community; and its values of respect, integrity, accountability, compatible goals, and compassionate care.

· Other duties as assigned.


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