Medical Claims Supervisor

Hi, we’re Gravie. Our mission is to improve the way people purchase and access healthcare through innovative, consumer-centric health benefit solutions that people can actually use. Our industry-changing products and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.

A Little More About Us:

·       We know healthcare. Our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space.

·       We are quickly becoming one of the fastest growing health benefits companies in the country. We have received numerous awards and accolades, including Inc. Magazine Best in Business Gold Medal award in 2021, and JMP Securities Top 50 Private Companies in Insurtech in 2022.

·       We have raised money from top tier investors who share the same long-term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized.

·       Our customers like us. Our revenue churn is in the low single digits, in an industry where greater than 20% churn is common.

·       Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve. We may not be the right place for everybody, but if you get energized by doing work every day that focuses on putting consumers at the front of the line, we could be a great place for you. It takes unique people and diverse perspectives to deliver our results. We encourage you to be your authentic self – we like you that way.

A Little More About The role:

We’re looking for a Medical Claims Supervisor. The Supervisor manages and oversees the operational and day-to-day performance of department staff. They help lead, manage, champion, and improve the Gravie member experience and ensure overall performance of direct reports, aligns with operational metrics and service standards.

You will:

·       Manage individual employee performance encouraging growth, development, and the highest service standards.

·       Coach and provide direct feedback regarding claims processing to ensure financial and payment accuracy.

·       Assist in managing claims team projects, including executing project plans, assisting with continuous projects, and providing results to drive the business forward.

·       Work to embrace and ensure Gravie’s culture is embodied in the actions and performance of team members.

·       Provide ongoing direction and support to Sr. Analysts and team leads.

·       Provide inventory assignments to examiners based on claims in production and ability to meet contractual agreements.

·       Provide suggestions and status updates to department leaders regarding improvement initiatives and ongoing projects within the department.

·       Oversee, maintain, and develop workflows to improve department success and efficiency.

·       Work with data analytics to identify gaps in reporting to ensure consistency in meeting/exceeding department goals.

·       Work closely with leadership to refine overall standards, metrics and processes based on insights from performance and metric data analysis.

·       Backup claims leadership as needed based upon the needs of the business.

·       Be comfortable addressing escalated/urgent scenarios and communicating effectively with key stakeholders.

·       Be willing to maintain a flexible work schedule, based upon the needs of the business and department goals.

·       Demonstrate commitment to our core competencies of being authentic, curious, creative, empathetic and outcome oriented.

You bring:

·       Dedication and passion around helping people navigate the world of health insurance and benefits.

·       A bachelor’s degree or equivalent experience in processing claims in a fast-paced environment.

·       Previous experience leading and managing others, providing direct feedback, and overseeing processes.

·       Demonstrated success leading special projects and providing impactful results.

·       Ability to foster positive rapport with direct reports and meet with team members in 1:1, small group, and large group settings.

·       Ability to work with all types of individuals collaboratively and professionally.

·       Ability to meet deadlines and manage multiple priorities simultaneously.

·       Ability to navigate ambiguity, shift gears comfortably, and decide and act without having the total picture.

·       Proven ability to get results and thrive in an ever-evolving environment.

Extra credit:

·       Previous startup company experience

·       Previous experience using Javelina.

·       Previous experience managing dynamic inventory.

Competitive pay is standard. Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard benefits, Gravie’s package includes alternative medicine coverage, flexible PTO, 16 weeks paid parental leave, paid holidays, cell phone reimbursement, education reimbursement, and 1 week of paid paw-ternity leave just to name a few.