Coordination of Benefits – Supervisor
Coordination of Benefits - Supervisor
At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.
Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!
Job Summary
This role ensures timely, accurate processing of all aspects of the identification, investigation, and validation processes for Coordination of Benefits (COB) and related eligibility products.
The position monitors, prioritizes, and distributes work to assigned team(s). The incumbent will facilitate quality processing of cases according to policy, procedures, and client service level agreements (SLAs).
This individual is responsible for identifying recoveries for assigned clients that meet or exceed forecasts and will partner with senior leadership to execute both short- and long-term production strategies.
Key Responsibilities
Schedule and prioritize work, approve time off, conduct performance reviews, hire and train employees, and enforce production, quality, and customer service standards/SLAs
Serve as the primary point of contact for offshore contractors, including hiring, work assignment, approving hours, coordinating training, and resolving vendor-related issues
Partner with senior leadership to develop and implement policies, procedures, and strategies to improve departmental KPIs and performance metrics
Apply expertise in COB rules, regulations, methodologies, and audit tactics to support efficient day-to-day operations
Ensure compliance with CMS, NAIC, and state COB guidelines, as well as internal and client expectations
Maintain and enhance COB/OHI processes by monitoring trends and driving process improvement initiatives
Maintain strict confidentiality when handling protected health information (PHI) and ensure team compliance
Address client issues and complaints, determining and executing appropriate resolutions
Select, develop, and evaluate staff to support efficient department operations
Collaborate across departments to ensure alignment and operational success
Ensure compliance with HIPAA regulations and company policies
Demonstrate alignment with company core competencies and values
Perform additional duties as assigned
Please note: Due to exposure to PHI-sensitive data, this role is designated as a High-Risk Role.
Job Scope
This role operates under limited supervision and serves as a key contributor in the development, implementation, and maintenance of departmental policies and procedures.
The incumbent has a direct impact on departmental revenue through effective leadership, coaching, and mentorship of team members.
This is a people leadership role with full authority over HR-related actions, including hiring, performance management, discipline, and training. The role also oversees work allocation and coordination of offshore resources.
COMPENSATION
The salary range for this position is $65-70 annually Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
Qualifications
Requirements
High school diploma or equivalent plus five (5) years of experience in healthcare/insurance operations, coordination of benefits, or claims processing
Minimum of two (2) years of supervisory or leadership experience
Demonstrated ability to achieve results with a strong client-focused mindset
Required licensures or certifications as applicable
Strong organizational, analytical, and independent decision-making skills
Proven problem-solving ability with strong prioritization and time management skills
Proficiency in Microsoft Office, including Excel
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
Medical, dental and vision coverage with low deductible & copay
Life insurance
Short and long-term disability
Paid Parental Leave
401(k) + match
Employee Stock Purchase Plan
Generous Paid Time Off – accrued based on years of service
WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
10 paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits
EEO STATEMENT
Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.
APPLICATION DEADLINE
We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.
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apply to this job
At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.
Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!
Job Summary
This role ensures timely, accurate processing of all aspects of the identification, investigation, and validation processes for Coordination of Benefits (COB) and related eligibility products.
The position monitors, prioritizes, and distributes work to assigned team(s). The incumbent will facilitate quality processing of cases according to policy, procedures, and client service level agreements (SLAs).
This individual is responsible for identifying recoveries for assigned clients that meet or exceed forecasts and will partner with senior leadership to execute both short- and long-term production strategies.
Key Responsibilities
Schedule and prioritize work, approve time off, conduct performance reviews, hire and train employees, and enforce production, quality, and customer service standards/SLAs
Serve as the primary point of contact for offshore contractors, including hiring, work assignment, approving hours, coordinating training, and resolving vendor-related issues
Partner with senior leadership to develop and implement policies, procedures, and strategies to improve departmental KPIs and performance metrics
Apply expertise in COB rules, regulations, methodologies, and audit tactics to support efficient day-to-day operations
Ensure compliance with CMS, NAIC, and state COB guidelines, as well as internal and client expectations
Maintain and enhance COB/OHI processes by monitoring trends and driving process improvement initiatives
Maintain strict confidentiality when handling protected health information (PHI) and ensure team compliance
Address client issues and complaints, determining and executing appropriate resolutions
Select, develop, and evaluate staff to support efficient department operations
Collaborate across departments to ensure alignment and operational success
Ensure compliance with HIPAA regulations and company policies
Demonstrate alignment with company core competencies and values
Perform additional duties as assigned
Please note: Due to exposure to PHI-sensitive data, this role is designated as a High-Risk Role.
Job Scope
This role operates under limited supervision and serves as a key contributor in the development, implementation, and maintenance of departmental policies and procedures.
The incumbent has a direct impact on departmental revenue through effective leadership, coaching, and mentorship of team members.
This is a people leadership role with full authority over HR-related actions, including hiring, performance management, discipline, and training. The role also oversees work allocation and coordination of offshore resources.
COMPENSATION
The salary range for this position is $65-70 annually Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
Qualifications
Requirements
High school diploma or equivalent plus five (5) years of experience in healthcare/insurance operations, coordination of benefits, or claims processing
Minimum of two (2) years of supervisory or leadership experience
Demonstrated ability to achieve results with a strong client-focused mindset
Required licensures or certifications as applicable
Strong organizational, analytical, and independent decision-making skills
Proven problem-solving ability with strong prioritization and time management skills
Proficiency in Microsoft Office, including Excel
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
Medical, dental and vision coverage with low deductible & copay
Life insurance
Short and long-term disability
Paid Parental Leave
401(k) + match
Employee Stock Purchase Plan
Generous Paid Time Off – accrued based on years of service
WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
10 paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits
EEO STATEMENT
Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.
APPLICATION DEADLINE
We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.
#LI-KB1
apply to this job