Supervisor Insurance

Key Responsibilities

• Supervise daily insurance operations and ensure timely processing of insurance claims.
• Verify patients' insurance eligibility, benefits, and coverage prior to treatment.
• Coordinate claim submissions, documentation, and reimbursement processes with insurance providers.
• Monitor outstanding claims, resolve claim denials, and follow up on pending reimbursements.
• Build and maintain strong relationships with insurance companies and third-party administrators (TPAs).
• Ensure compliance with insurance policies, healthcare regulations, and internal procedures.
• Collaborate with Front Office, Finance, Patient Experience, and Clinical teams to ensure smooth insurance workflows.
• Analyze insurance performance, claim trends, and reimbursement data to identify opportunities for improvement.
• Develop and implement SOPs and process improvements to enhance operational efficiency.
• Train, coach, and supervise the Insurance team to achieve departmental KPIs and service excellence.

Qualifications

• Bachelor's Degree in Business Administration, Healthcare Management, Finance, Insurance, or a related field.
• Minimum 5 years of experience in insurance administration, medical claims, healthcare billing, or a related field, with supervisory experience preferred.
• Strong knowledge of medical and dental insurance claims, reimbursement processes, and healthcare regulations.
• Experience working with local and international insurance providers and TPAs is an advantage.
• Excellent analytical, problem-solving, and negotiation skills.
• Strong leadership, communication, and interpersonal abilities.
• Proficient in Microsoft Office and healthcare or insurance management systems.
• Detail-oriented, highly organized, and committed to accuracy and compliance.
• Fluent in English, both written and spoken; additional languages are a plus.