Allied Benefit Systems · 23 hours ago
Supervisor, Claims Compliance (No Surprises Act)
United States
Full-time
Remote
Mid Level
$60K/yr - $65K/yr
3+ years expAllied Benefit Systems is a company focused on cost containment in health benefits. The Supervisor, Claims Compliance is responsible for managing daily operations within the claims compliance department, mentoring employees, and ensuring efficient workflows to meet client and partner expectations.
Health CareInsuranceWellness
Responsibilities
Mentor and develop employees through constructive and targeted 1:1 coaching and nurture an environment where they can excel through encouragement and empowerment; supply on-going support that paves the way for career growth
Monitor daily inventory reports to ensure all claims/calls are managed promptly and accurately
Develop and implement detailed workflows to improve the consistency and accuracy of the staff
Be aware of all behind the scenes processes such as call notes, tracking, and claim related functions
Coordinate with Client Service Team Members, and Account Managers to proactively identify escalations or impacts to clients
Coordinate with other departments QicLink coding for Allied Advocate automation
Coordinate with reinsurance carriers as to all aspects of claim cost containment including monthly claim activity reports and contract extension requests
Fosters a sense of urgency and commitment to achieve goals resulting in the ability to influence the organization to meet and exceed client, member, and partner expectations
Maintain employee work schedules including assignments and training
Assist the Manager with coordinating current processes and workflows while working to find and improve internal processes with various Allied departments
Conduct regular meetings to ensure direct reports maintain service levels and meet assigned goals. Lead refresher training as needed
Work with other Allied Advocate Supervisors to distribute and adjust team resources as required
Create and distribute weekly Allied Advocate reports to Brokers and group contacts
Work to develop standard department metrics, audits, training guides, and best practices
Adhere to and apply all applicable privacy and security laws, including HIPAA (Health Insurance Portability and Accountability) and any regulations promulgated thereto
Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent
Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed
Actively engage, coach, counsel and provide timely, and constructive performance feedback
Performs other related duties as assigned
Qualification
Required
High School Diploma Required, College and Advanced Degrees Preferred
Continuing education in all areas affecting group health and welfare plans is required
Minimum of 3 years of in-depth knowledge of Medical Claims, Benefits, and administrative skills required
Intermediate level work experience with Microsoft Office, Word, Excel, Access, and Power Point software applications required
Ability to prioritize tasks and delegate them when appropriate
Ability to multi-task, this includes ability to understand multiple products, multiple levels of benefits within each product and work within multiple systems
The ability to easily learn other software and systems
Strong written and verbal skills
Benefits
Medical
Dental
Vision
Life & Disability Insurance
Generous Paid Time Off
Tuition Reimbursement
EAP
Technology Stipend
Company
Allied Benefit Systems
Allied offers insurance products, self-insurance solutions, custom insurance and healthcare solutions to the individuals and organizations.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Stone Point Capital
2021-02-18Private Equity
Leadership Team
D
Dina H. Tank
Senior Vice President of Sales, Western Region
Recent News
2025-06-04
2025-06-03
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