{"id":3233094,"url":"https://alion.io/job/highmark-health-supervisor-claims","title":"Supervisor Claims","company":{"id":20346,"name":"Highmark Health","domain":"highmarkhealth.org","url":"https://alion.io/company/highmark-health","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":99,"open_postings":4,"ghost_share":0,"stale_share":0.25,"repost_share":0,"time_to_fill_p50_days":17,"computed_at":"2026-11-01T06:10:25Z"}},"role":"Industrial Engineering","role_family":"Industrial Engineering","seniority":"junior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["New York, United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":90000,"max":null,"currency":"USD","period":"year","gross":null,"usd_annual":90000},"salary_estimate":null,"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-23T00:00:00Z","employer_posted_date":"2026-10-23","last_verified_at":"2026-11-02T00:45:06Z","board_verified":true,"closed_at":null,"days_open":10,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":10},"description":"Company :\nHighmark Inc.Job Description :\nJOB SUMMARY\nThis job supervises and coordinates the day to day activities of the various claims processing or claims adjustment units responding to internal inquiries or inquiries received by members, providers, or account representatives across all markets.\nESSENTIAL RESPONSIBILITIES\nCommunicate effectively.\nEffectively supervise all assigned personnel.\nCoordinate any claim backlog distribution for regular and overtime work both interdepartmentally and companywide. \nMonitor and manage daily inventories to ensure adequate staffing and resources are available.\nSubject matter expert for benefit plan and claims processing issues, implementation of new groups and products, and transition meetings.\nResearch quality issues and respond to error assessments.\nEnsure all business processes are routinely monitored. Recommend and design, if necessary, process improvements designed to improve accuracy, timeliness of process and/or eliminate manual effort.\nOther duties as assigned or requested.\nThis positions supervises employees mostly in the State of New York: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, and Wyoming counites.\nRequired\nHigh School Diploma or GED\n2 years experience in a claims environment\n1 year experience leading or supervising others\nPreferred\nBachelor’s degree\nSKILLS\nKnowledge of multiple processing systems and workflows\nKnowledge of claims processing methodologies\nAbility to interpret all government regulations.\nKnowledge of Highmark products.\nTravel Requirements\n0% - 25%\nPHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS\nPosition Type\nRemote Office-based\nTeaches / trains others regularly\nOccasionally\nTravel regularly from the office to various work sites or from site-to-site\nRarely\nWorks primarily out-of-the office selling products/services (sales employees)\nNever\nPhysical work site required\nYes\nLifting: up to 10 pounds\nConstantly\nLifting: 10 to 25 pounds\nOccasionally\nLifting: 25 to 50 pounds\nRarely\nDisclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.\nCompliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.\nAs a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. \nFurthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.\nPay Range Minimum:\n$58,100.00Pay Range Maximum:\n$90,000.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.\nHighmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.\nCalifornia Consumer Privacy Act Employees, Contractors, and Applicants Notice","description_format":"text","description_chars":4074,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[]},"benefits":["Equity","Health insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Hospitals & Health Systems","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-10-25T09:19:28Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 34","filings_12m":34,"filings_prev_12m":38,"green_card_filings_12m":0,"median_offered_wage_usd":132500,"route":null,"cap_exempt":false,"checked_at":"2026-10-29T16:27:21+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)"],"filings_for_role_12m":0}],"liveness":{"score":81,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.903,"p_room":0.9,"age_days":9,"expected_fill_days":17,"reasons":["conf:10","velocity","win:mid","comp:junior,brand"],"computed_at":"2026-11-01T06:10:25Z"},"pay":{"stated_usd_annual":90000,"is_top_pay":true},"html_url":"https://alion.io/job/highmark-health-supervisor-claims","json_url":"https://alion.io/job/highmark-health-supervisor-claims.json","meta":{"generated_at":"2026-11-02T02:20:54Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":3479,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-03T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":20346},"rest":"https://alion.io/mcp/rest/get_company?id=20346"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fhighmark-health-supervisor-claims"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fhighmark-health-supervisor-claims"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fhighmark-health-supervisor-claims"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/highmark-health-supervisor-claims\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fhighmark-health-supervisor-claims"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3233094}},{"tool":"search_jobs","arguments":{"company":"highmarkhealth.org","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3233094},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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