Supervisor, Claims_OPS

Supervisor, Claims

Who are we?

Versant Health is one of the nation's leading administrators of managed vision care, serving over 35 million of our clients' members across the United States. Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members' lives with easy-to-use vision solutions rooted in choice value, and care, we believe that everyone has the power to become anything they set their sights on.

See how you can make a difference with the support of strong leadership and a team environment.

Versant Health: Making Healthy Vision a Reality for Everyone

What are we looking for?

The Claims Supervisor is responsible for the daily oversight and administration of Claims Department operations, ensuring timely, accurate, and compliant claims processing. This role provides leadership, coaching, and development to Claims Examiners and support staff while monitoring productivity, quality, service level performance, and workflow management. The Claims Supervisor serves as a subject matter expert (SME) and collaborates with cross-functional partners to support operational excellence, process improvements, and achievement of departmental goals.

Where you will have an impact

• Provide day-to-day leadership and supervision of the Claims team, including coaching, mentoring, training, and performance management.
• Monitor and evaluate team productivity, quality, accuracy, turnaround times, and adherence to established service level agreements (SLAs).
• Establish clear performance expectations and provide ongoing feedback, development plans, and corrective action when necessary.
• Support employee engagement through recognition, motivation, career development, and team-building initiatives.
• Facilitate onboarding and training of new team members and support ongoing staff development.
• Prepare, analyze, and communicate daily, weekly, and monthly claims performance reports and operational metrics.
• Monitor departmental workflows and inventory levels, adjusting assignments and priorities as needed to ensure timely completion of work.
• Collaborate with internal business partners including Configuration, Quality Assurance, Eligibility, Customer Service, Provider Relations, and Information Technology to resolve claims processing issues and improve operational efficiency.
• Serve as a subject matter expert for claims adjudication policies, procedures, payment methodologies, and claims processing systems.
• Investigate and resolve complex claims issues, payment discrepancies, provider inquiries, and system-related adjudication concerns.
• Support claims processing activities and work inventories during periods of increased volume or operational need.
• Participate in user acceptance testing (UAT), system enhancements, and implementation activities related to claims operations.
• Manage assigned operational processes, including reject and denial workflows, correspondence tracking, check processing activities, and inventory management.
• Identify trends, root causes, and opportunities for operational improvements through data analysis and workflow reviews.
• Partner with management to develop and implement process improvements, quality initiatives, and compliance standards.
• Assist with recruitment activities, including candidate interviews, selection recommendations, and onboarding support.
• Ensure compliance with company policies, regulatory requirements, and departmental procedures.
• Perform other duties and special projects as assigned.

What’s necessary to do the job?

Experience, Education, and Certifications/Licenses:

HIPAA & Security Requirements

All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.

We offer a comprehensive and competitive total rewards package designed to support your health, financial well‑being, and work‑life balance. Benefits include medical, dental, and paid vision coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond.

Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.

Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve.

Fueled by our mission to improve members’ lives with easy-to-use vision solutions rooted in choice, value, and care, Versant Health believes that everyone has the power to become anything they set their sights on. Our team is guided by core Leadership Principles—Perspective, Care, Drive, and Ownership—which shape how we work, lead, and grow together.

Our Management Team is committed to fostering a strong and supportive culture, cultivating a thriving work environment, providing clear direction, optimizing resources, enabling innovative solutions, and driving meaningful results.