Claims Supervisor

Job not on LinkedIn

🕒 2 days ago

🇺🇸 United States – Remote

💵 $55k - $60k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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RAM Technologies

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 1996

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

RAM Technologies is a U. S. -based manufacturer of high-reliability medical and industrial power supplies and related accessories. Since 1996 the company has designed and produced certified PC power supplies for medical devices and other industrial applications, emphasizing quick turnaround for prototypes, customizable output cables, and compliance with standards such as EN 60601-1. RAM Technologies offers long-life, warranty-backed products made in the USA, targeting OEMs and designers of medical and industrial electronics.

📋 Description

• Manage the day-to-day operations of the Claims Department • Supervise Claims Specialists and oversee their daily activities • Ensure timely, efficient, and accurate healthcare claims processing • Manage workforce workload and staffing to ensure regulatory and contractual compliance • Provide training, coaching, and support to team members • Evaluate team performance and improve productivity and quality • Handle escalated claims issues and resolve complex cases • Develop strategies to reduce escalations • Improve processes and policies with the Claims Manager based on claim issue trends • Act as a liaison and escalation point for clients • Participate in client meetings, discuss service performance, resolve issues, and gather feedback • Prepare client reports and presentations covering performance metrics and initiatives • Maximize use of the RAM processing platform and products for automated and efficient manual outcomes • Develop department policies, procedures, workflows, and handoff processes • Prepare training approaches and onboarding timelines • Coordinate with IT/Ops Support on UAT plans, scenarios, and cases • Assess reporting needs and operationalize metrics-driven department and client outcome management

🎯 Requirements

• 7-10 years of healthcare industry experience working in the payer segment in Medicare Advantage, Managed Medicaid, or with an industry competitor • Experience in a BPaaS environment is a plus • Experience working in a production environment • Ability to meet performance standards • Attention to detail • Ability to apply documented procedures to achieve desired outcomes • Proficiency in MS Word and MS Excel • Good interpersonal skills • Strong written and oral communication abilities

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401(k) with match • Life insurance • LTD • 5 weeks' vacation • Paid holidays