Claims Supervisor, FSA/HRA

Lucent Health Solutions LLC•Nashville, TN

About The Position

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers. The Claims HRA/FSA Supervisor is responsible for overseeing the accurate, timely, and compliant administration of Health Reimbursement Arrangements (HRA) and Flexible Spending Account (FSA) claims. This role ensures adherence to plan documents, IRS regulations, and internal controls, while leading day-to-day staff execution and continuous process improvement.

Requirements

Associate or Bachelor’s degree in business administration, healthcare management, or a related field (or equivalent experience).
3–5 years of experience in healthcare operations, issue resolution, or client servicing within a TPA or health plan environment.
Working knowledge of self-funded plan administration, claims processes, and vendor integration workflows.
Proven ability to lead and develop staff in a fast-paced, cross-functional environment.
Strong organizational, analytical, and communication skills with attention to accuracy and follow-through.
Proficiency in issue-tracking systems, workflow management tools, and Microsoft Office applications.

Responsibilities

Supervise daily processing of HRA and FSA claims, including substantiation, eligibility verification, and reimbursement determinations.
Ensure claims are in accordance with plan design, IRS rules, and internal SOPs.
Monitor workloads, queues, and turnaround times to meet SLAs.
Resolve escalated or complex claims issues and participant disputes.
Enforce substantiation requirements and documentation standards.
Ensure compliance with IRS regulations, ERISA (where applicable), HIPAA, and plan-specific provisions.
Partner with Compliance and Legal on audits, corrections, and regulatory updates.
Oversee error correction, recovery, and reporting processes.
Provide direct supervision, coaching, and performance management for HRA/FSA claims processors.
Ensure staff are trained on plan changes, regulatory updates, and system enhancements.
Conduct quality reviews and implement corrective action where needed.
Support staffing, onboarding, and cross-training initiatives.
Serve as the escalation point for client, broker, and participant inquiries related to HRA/FSA claims.
Collaborate with Client Services and Customer Service teams to ensure accurate and consistent communication.
Support client implementations, renewals, and plan design changes affecting HRA/FSA administration.
Partner with IT and Plan Build to ensure accurate system configuration and rule setup.
Identify automation opportunities and process gaps to improve efficiency and accuracy.
Maintain and update SOPs and job aids.
Track and report key performance indicators, including turnaround time, error rates, audit findings, and participant satisfaction.
Use data to drive performance improvement and risk mitigation.