Claims Technical Supervisor - Hybrid (Indianapolis, Indiana)

Gainwell Technologies•Indianapolis, IN

1d•Hybrid

About The Position

The Claims Technical Supervisor provides day-to-day technical leadership for the Benefit Plan Administration/Reference and EDI operations teams. This role supports quality, productivity, technical accuracy, workflow management, and operational compliance within a fast-paced healthcare claims environment. The supervisor will provide subject-matter expertise, support technical claims operations, oversee EDI workflow activities, monitor operational performance, and partner with internal stakeholders to ensure accurate and compliant processing, system configuration, and operational readiness.

Requirements

High school diploma or GED required
Strong analytical, technical, problem-solving, communication, and organizational skills with attention to detail and operational accuracy.
Proficiency with Microsoft Excel, reporting tools, operational dashboards, and trend analysis.
Ability to interpret policies, operational procedures, regulatory requirements, and benefit plans while supporting compliant and consistent operational outcomes.

Nice To Haves

associate or bachelor’s degree in healthcare administration or related field preferred.
Prior lead, supervisory, mentoring, or informal leadership experience within healthcare operations, claims operations, EDI, or benefit administration environments preferred.
Experience with claims systems, rule configuration, claim editing, audits, EDI transaction workflows, or benefit administration processes preferred.

Responsibilities

Supervise daily workflow operations for Benefit Plan Administration/Reference and EDI teams, including assigning work, balancing priorities, monitoring queues, and removing operational blockers to meet service-level targets.
Provide technical guidance and subject-matter expertise related to claims operations, regulatory requirements, benefit configuration, claim editing, audits, and EDI processes.
Lead quality assurance activities by conducting audits, identifying root causes, implementing corrective actions, and coaching staff to improve operational accuracy and consistency.
Partner with IT and business owners to support testing, validation, and implementation of system updates including CPT, HCPCS, ICD-10, CDT, fee schedules, edits, audits, and EDI transaction updates.
Track and report operational metrics including quality, timeliness, productivity, inventory, and risk trends while escalating concerns and remediation plans to leadership.
Support onboarding, training, documentation maintenance, process improvements, and ongoing coaching to ensure technical proficiency, compliance, and operational excellence across the team.