[Hiring] Healthcare Claims Supervisor @ImagenetLLC

Role Description

The Claims Supervisor is responsible for the overall operational performance, client satisfaction, reporting oversight, KPI ownership, and frontline leadership of assigned healthcare claims accounts. This role is accountable for ensuring all production, quality, turnaround time, attendance, and client service expectations are consistently achieved.

• Oversee daily claims operations across assigned accounts and lines of business.
• Own operational performance and ensure all KPIs, SLAs, and client deliverables are achieved consistently.
• Drive accountability across Team Leads and frontline staff for production, quality, attendance, and adherence expectations.
• Monitor inventory levels, aging, turnaround times, backlog risks, and workflow distribution proactively.
• Develop and execute remediation plans for missed targets or operational gaps.
• Ensure operational readiness during implementations, transitions, and account expansions.
• Partner with Workforce Management and Operations leadership on staffing models and capacity planning.
• Will go through training with the team members and expected to perform at the highest level in training.

Qualifications

• Minimum 3–5 years of healthcare claims leadership experience.
• Prior supervisory experience overseeing production teams required.
• Strong experience managing healthcare payer operations and claims workflows.
• Experience with client-facing operations and client relationship management.
• Strong reporting and data analysis experience required.
• Experience owning operational KPIs and performance deliverables.
• Strong leadership, accountability, organizational, and communication skills.
• Experience with systems such as EZ-CAP, QNXT, Facets, Jiva, Plexis, or similar preferred.
• Intermediate to advanced Excel and reporting/dashboard experience required.
• Experience managing offshore and/or remote teams preferred.

Requirements

• Maintain direct ownership of account-level KPIs and operational metrics.
• Analyze trends and provide action plans for productivity, quality, error rates, turnaround times, SLA compliance, attendance/adherence, inventory aging, and client escalations.
• Hold Team Leads and staff accountable for achieving performance expectations.
• Conduct recurring performance reviews, coaching sessions, corrective actions, and performance improvement plans.
• Ensure performance issues are addressed timely and consistently.
• Establish a culture of urgency, accountability, and continuous improvement.

Benefits

• Remote work offered
• Equipment provided
• Paid training to set you up for success
• Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
• Paid Time Off (PTO)
• 7 paid holidays
• A supportive team and a company that values internal growth

Company Description

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans’ members and providers.

• The company currently serves over 70 health plans.
• Processes millions of claims and multiples of related structured and unstructured data elements annually.
• Developed an innovative workflow technology platform, JetStreamTM, for traceability, governance, and automation of claims operations.
• Headquartered in Tampa, operates 10 regional offices throughout the U.S., and has a wholly owned global delivery center in the Philippines.