{"id":3738965,"url":"https://alion.io/job/zenith-american-solutions-supervisor-claims","title":"Supervisor, Claims","company":{"id":2773253,"name":"Zenith American Solutions","domain":"zenith-american.com","url":"https://alion.io/company/zenith-american","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":75,"open_postings":4,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":null,"computed_at":"2026-11-11T05:49:22Z"}},"role":"Industrial Engineering","role_family":"Industrial Engineering","seniority":"middle","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["San Francisco, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":82500,"max":null,"currency":"USD","period":"year","gross":null,"usd_annual":82500},"salary_estimate":null,"experience_years_min":4,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false}],"status":"live","first_seen_at":"2026-10-20T00:00:00Z","employer_posted_date":"2026-10-20","last_verified_at":"2026-11-11T00:54:39Z","board_verified":true,"closed_at":null,"days_open":22,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":22},"description":"Position Summary\nThe Supervisor, Claims provides daily leadership and supervision to a Claims team in accordance with Company guidelines, client needs, and regulatory requirements.\n\"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role.\"\nKey Duties and Responsibilities\nProvides daily leadership and supervision to staff consistent with Company values and mission.\nAssigns, distributes, and monitors quality and quantity of work produced, ensuring employees are held accountable for consistently meeting quality and production requirements.\nDevelops staff through performance management, goal setting, training, and effective employee relations.\nMaintains current knowledge of assigned Plan(s) and effectively applies knowledge; provides oversight of processing activities to ensure compliance.\nOptimizes workflows/processes, tools, and staff allocation to ensure efficient and cost-effective day to day operations.\nTroubleshoots customer/client service issues and assists in the successful implementation of new clients.\nReviews and interprets new benefits plans or changes/updates to existing plans; tests benefits for validation and accuracy. Develops and distributes resource documents as needed.\nBased on location needs, may provide advanced technical review and support of claims processing.Provide technical review of all types of claims including large dollar and complex claims to validate benefit allowance and category.\nInvestigate, evaluate, and report on advanced cases for third-party recovery including stop-loss, accident, medical malpractice, subrogation, and Worker's Compensation.\n\nCompiles documents, records, and data for external audits, as requested.\nAssists in the development and documentation of departmental SOP's.\nPerforms other duties as assigned.\nMinimum Qualifications\nHigh school diploma or GED.\nFour years of experience processing complex health and welfare claims in a third-party administrator.\nOne year of experience in a lead or supervisory role.\nAdvanced knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes.\nThorough knowledge of claims operations to include payment of claims, interpretation of contracts, communication of benefits, etc.\nExceptional team player with the confidence and integrity to earn client and internal team confidence quickly.\nHighly developed sense of integrity and commitment to customer satisfaction.\nAbility to communicate clearly and professionally, both verbally and in writing.\nStrong decision-making and organizational skills, with the ability to optimize the use of all available resources and deliver on multiple priorities.\nExceptional analytical and problem resolution skills; ability to exercise independent, sound judgment.\nComputer proficiency including Microsoft Office tools and applications.\nPreferred Qualifications\nExperience working in a multi-employer or Taft-Hartley environment.\n*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice.\nWorking Conditions/Physical Effort\nProlonged periods of sitting at a desk and working on a computer.\nMust be able to lift up to 15 pounds at times.\nDisability Accommodation\nConsistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at , and we would be happy to assist you.\nPlease note that in compliance with certain state law, we are displaying salary. This rate is intended for hires into this location.\nCompensation: $82,500/annually\nZenith American Solutions\n Real People. Real Solutions. National Reach. Local Expertise.\nWe are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.\nZenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before.\nWe believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!\nWe realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!","description_format":"text","description_chars":5745,"description_truncated":false,"requirements":{"experience_years_min":4,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[]},"benefits":["Retirement plans"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Information Technology"],"lifecycle":[{"event":"open","at":"2026-11-04T11:06:26Z"}],"visa":[],"liveness":{"score":58,"band":"ok","label":"Likely open","p_open":1,"p_active":0.777,"p_room":0.75,"age_days":22,"expected_fill_days":26,"reasons":["conf:4","win:late"],"computed_at":"2026-11-11T05:49:22Z"},"pay":{"stated_usd_annual":82500,"is_top_pay":false},"html_url":"https://alion.io/job/zenith-american-solutions-supervisor-claims","json_url":"https://alion.io/job/zenith-american-solutions-supervisor-claims.json","meta":{"generated_at":"2026-11-11T06:14:55Z","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":8792,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-12T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"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":2773253},"rest":"https://alion.io/mcp/rest/get_company?id=2773253"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fzenith-american-solutions-supervisor-claims"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":2,"usd":0.2},"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%2Fzenith-american-solutions-supervisor-claims"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"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%2Fzenith-american-solutions-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/zenith-american-solutions-supervisor-claims\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fzenith-american-solutions-supervisor-claims"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3738965}},{"tool":"search_jobs","arguments":{"company":"zenith-american.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3738965},"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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