Claims Operations Supervisor - Hybrid (Indianapolis, Indiana)

Gainwell Technologies LLC•Indianapolis, IN

3d•Hybrid

About The Position

The Claims Operations Supervisor provides day-to-day operational leadership for claims processing, adjudication, resolutions, adjustments, and mailroom functions. This role supports timely and accurate claim outcomes, monitors quality and productivity, assists with complex claims questions and escalations, and partners with internal teams to drive compliant, repeatable processes. The supervisor will identify trends, escalate risks, and recommend improvements to support operational excellence and service-level performance.

Requirements

High school diploma or GED required
5+ years of claims processing experience, including experience handling complex or escalated claims.
Working knowledge of claim forms, benefits, coordination of benefits, adjustments, reprocessing, and quality control practices.
Proficiency with claims platforms, reporting tools, Microsoft Excel, and operational dashboards.
Strong analytical, communication, documentation, coaching, and problem-solving skills with the ability to drive accountability and process

Nice To Haves

associate or bachelor’s degree in business, finance, healthcare administration, or related field preferred.
Prior lead, supervisory, or informal leadership experience preferred.

Responsibilities

Supervise daily claims and mailroom workflow, including assigning work, balancing priorities, and monitoring inventory to meet service-level targets.
Provide subject-matter expertise and support analysts with complex claims questions, escalations, adjustments, and reprocessing scenarios.
Track and report operational metrics including quality, timeliness, productivity, inventory, and remediation plans.
Lead quality activities and ensure claims are processed accurately, consistently, and in compliance with procedures and plan guidelines.
Partner with IT, business owners, finance, and operations teams on change requests, release readiness, issue resolution, and process improvements.
Maintain procedures, job aids, and workflow documentation while supporting onboarding, training, coaching, and team development.