UCLA Health

Claims Quality Supervisor

UCLA Health$80K — $168K *
Business Services
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of experience in claims operations or quality assurance roles
  • Strong understanding of regulatory compliance in the insurance industry
  • Proven leadership skills in managing teams and promoting a positive work culture
  • Exceptional analytical skills to assess and improve quality processes
  • Ability to develop effective training programs tailored to team needs

Responsibilities

  • Develop and implement quality assurance systems and reporting tools
  • Oversee audit programs to ensure compliance and performance standards
  • Manage customer service operations within the Claims Administration Department
  • Lead and staff the customer service team to achieve service goals
  • Supervise Quality Control and Customer Service staff, facilitating training opportunities

Benefits

  • Comprehensive health insurance packages
  • Retirement savings plan with employer contributions
  • Generous paid time off and holiday policy
  • Professional development and training opportunities
  • Flexible work arrangements to support work-life balance
Full Job Description
We are seeking a detail-oriented and experienced Claims Quality Supervisor to lead our audit and quality assurance initiatives across all aspects of claims operations. This role is responsible for ensuring accuracy, efficiency, and compliance with contractual and regulatory requirements. Key responsibilities include: 3 Developing and implementing internal quality assurance monitoring systems and reporting tools. 3 Overseeing audit programs to maintain high standards of compliance and performance. 3 Managing the customer service functions within the Claims Administration Department. 3 Leading and staffing the customer service team to meet established service goals and performance objectives. 3 Provide direct supervision and guidance for Quality Control and Customer Service staff and provide developmental and training opportunities for team members. Salary Range: $80,700 - $168,500.00/Annually

About UCLA Health

UCLA Health is a world-renowned academic medical center located in Los Angeles, California. It comprises four hospitals, including Ronald Reagan UCLA Medical Center, and more than 200 primary and specialty care clinics. UCLA Health is affiliated with the David Geffen School of Medicine at UCLA and is consistently ranked among the top hospitals in the United States. The health system employs over 20,000 people and serves as a major center for patient care, medical education, and research.
Learn more about UCLA Health
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