Healthcare Claims Supervisor

General Dynamics Information Technology•Atlanta, GA

1d•$57,800 - $78,200•Hybrid

About The Position

The Healthcare Claims Supervisor at GDIT leads claims operations supporting the World Trade Center Health Program, a limited-benefit federal healthcare program administered by NIOSH, part of CDC and HHS. The role ensures medical claims are reviewed and adjudicated accurately, compliantly, and efficiently so beneficiaries receive timely coverage determinations. The supervisor manages day-to-day claims team operations, supports staff development, monitors performance and quality, resolves escalations, and collaborates with partner teams to improve outcomes in a high-volume third-party administrator environment.

Requirements

At least 5 years of medical claims processing experience within a payer, TPA, or government healthcare environment.
At least 2 years of lead, senior, or supervisory experience supporting claims operations.
Strong understanding of claims adjudication, reimbursement methodologies, and regulatory requirements.
Knowledge of professional and facility claim formats, modifiers, bill types, and industry-standard adjudication rules.
Strong analytical skills, including interpreting claims data, identifying root causes, and resolving complex issues.
Excellent communication skills for coaching staff and collaborating across operational teams.
High attention to detail and commitment to accuracy and compliance.
Ability to work independently and lead a remote or distributed team effectively.
Must possess or be able to obtain MBI (T2) clearance; no other clearance is required.
No U.S. citizenship requirement.

Nice To Haves

Proficiency with Plexis claims processing system.
Prior experience supporting the World Trade Center Health Program.

Responsibilities

Supervise a medical claims processing team reviewing, analyzing, and adjudicating professional, facility, and complex claims.
Oversee workload distribution, staffing coverage, productivity expectations, and performance monitoring against contractual timeliness and accuracy standards.
Coach, mentor, and train staff on claims rules, system changes, Program policy updates, and adjudication procedures.
Conduct quality reviews, identify error trends, and implement process improvements to improve accuracy, compliance, and efficiency.
Serve as a subject matter resource for escalations, benefit interpretations, complex claims, and policy questions.
Ensure proper claim documentation, consistent policy application, and audit-ready recordkeeping.
Collaborate with Medical Policy, Utilization Management, Finance, Provider Services, and Compliance teams to resolve claim discrepancies, coding issues, and benefit concerns.
Track metrics and prepare operational reports on productivity, quality, timeliness, inventory aging, and issue trends.
Support testing and validation of system updates, benefit modifications, policy changes, and new workflows.
Contribute to hiring, onboarding, performance evaluations, and ongoing development of claims processing staff.
Ensure compliance with HIPAA and program confidentiality requirements.
Participate in operational redesign and continuous improvement initiatives to optimize claims processing outcomes.

Benefits

Comprehensive medical plan options, including plans with Health Savings Accounts.
Dental insurance.
Vision insurance.
401(k) plan with company match.
Full-flex work weeks where possible.
Paid time off, including vacation, sick and personal time.
Paid holidays.
Paid parental leave and paid family leave of up to 160 hours in a rolling 12-month period for eligible employees.
Military, bereavement, and jury duty leave.
Short- and long-term disability benefits.
Life insurance.
Accidental death and dismemberment, personal accident, critical illness, and business travel and accident insurance.
Wellness packages.
Internal mobility support and career development tools.