Supervisor, Claims Operations

Job overview

The Supervisor, Claims Operations role is an office position requiring onsite work an average of three days per week. The posting lists Madison, WI, as a location and also welcomes candidates near Minnetonka, MN. The full salary grade is $50,800–$87,000 per year, with a typical hiring range of $50,800–$76,125. Medica is a nonprofit health plan serving members across several states. The supervisor leads a claims operations team responsible for timely and accurate medical-claim adjudication. The role supports service and quality goals through work assignment, coaching, claims review, reporting, reconciliation, and process improvement.

What you'll do

• Lead and direct claims operations employees
• assign and monitor work
• coach and develop staff
• manage timecards, scheduling, attendance, and time-off requests
• review claims above processor authority
• monitor claim receipts and workflows
• assist with complex issues
• analyze trends
• prepare operational reports
• lead payment reconciliation and authorize payment files
• resolve discrepancies
• recommend process improvements
• provide claims expertise and technical guidance.

What we're looking for

Skills & competencies

supervisor

claims operations

medica

madison wi

minnetonka mn

hybrid onsite schedule

medical claims

claims adjudication

team leadership

payment reconciliation

$50,800–$87,000 salary grade

typical hiring range $50,800–$76,125

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, and vision
• paid time off and holidays
• paid volunteer time off
• 401(k) contributions
• caregiver services
• and other employee benefits.

Why this role

The office role requires onsite work an average of three days per week and is open to candidates near Madison, WI, or Minnetonka, MN.

About the employer

Medica Services Company LLC is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.