Supervisor, Digital Resolution Team

Imagine360

13d • Remote

About The Position

The Supervisor, Digital Resolution Team is responsible for overseeing escalated member issues and supervising staff who manage written benefit-related inquiries. This role ensures timely, accurate, and high‑quality responses to both escalated call situations and benefits correspondence while maintaining white‑glove service standards. The Supervisor provides daily guidance, coaching, quality oversight, and operational support to ensure team efficiency, accuracy, and adherence to organizational service expectations. This position requires exceptional communication, strong problem‑solving skills, and the ability to calmly navigate high‑visibility escalations while supporting team members in delivering an effortless member and provider experience.
Position Location: 100% remote

Requirements

• Strong written and verbal communication skills.
• Ability to manage complex escalations with professionalism and empathy.
• High attention to detail and strong analytical skills.
• Ability to coach and develop team members with varying experience levels.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong knowledge of benefits, claims, and member experience workflows.
• Supervisory or lead experience preferred.
• Experience in benefits, claims, correspondence, member services, or healthcare operations required.
• Familiarity with systems such as GBAS, Macess, RC/Max, and internal documentation platforms preferred.
• Proven subject matter experience in a service environment
• Healthcare Benefits/Insurance industry experience a strong plus
• Strong technology skills (Microsoft products)
• Superior, established problem-solving skills. Ability to implement solutions with little supervision in a fast paced, environment and provide supervision and mentorship to their team
• Strong verbal and written communication skills with the ability to resonate with others to impact positive outcomes
• Team player able to collaborate with other departments

Nice To Haves

• College degree preferred or combination of some college coupled with applicable work experience

Responsibilities

• Provide day‑to‑day coaching, support, and development to staff handling escalations and benefits correspondence.
• Conduct regular performance evaluations and monitor quality, productivity, and adherence goals.
• Deliver corrective action when appropriate, including coaching, documentation, and follow‑up.
• Lead monthly team meetings, 1:1s, and ongoing development conversations.
• Serve as the primary point of contact for questions, escalation assistance, and process clarification.
• Manage escalated or sensitive member issues requiring advanced intervention beyond frontline agents.
• Review and triage escalations to determine next steps, partnering with internal teams (Client Experience, Medical Management, Provider Services, Correspondence).
• Ensure urgent vs. non‑urgent escalation criteria are followed and response expectations are met.
• Provide wrap-up communication to leadership as appropriate for high-visibility cases.
• Oversee staff responsible for written inquiries regarding benefits, claims status, eligibility, predeterminations, and other benefit‑related requests.
• Ensure outgoing correspondence meets quality, accuracy, and compliance standards.
• Maintain service metrics including schedule adherence, email quality, production goals, and turnaround times.
• Support staff in resolving complex benefit inquiries requiring research or collaboration across departments.
• Distribute and monitor daily workloads to ensure appropriate coverage across correspondence and escalations.
• Track team productivity and quality, providing targeted coaching where needed.
• Review quality audits and guide staff toward performance improvements.
• Coordinate incoming work queues and ensure efficiency across functions.
• Identify opportunities to streamline processes and recommend enhancements to improve efficiency and member experience.
• Partner with leadership on new system/process implementations impacting escalations or correspondence.
• Ensure SOPs, training materials, and workflows are followed and provide feedback for improvements.
• Act as liaison between Member Services, Correspondence, Provider Services, Clinical teams, and other stakeholders.
• Communicate trends, issues, and updates to leadership, recommending action steps.
• Support cross‑departmental resolution of high-impact issues.

Benefits

• Multiple Health plan options
• Company paid employee premiums for disability and life insurance
• Parental Leave Policy
• 20 days PTO to start / 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Company paid Short & Long term Disability plus Life Insurance
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed