Hiring: Supervisor - Claims Systems Company: BCBS Global Solutions Location: King of Prussia, PA Job Posted Time: 2026-09-10 11:57:03 Employment Type: Hybrid Target Skills & Keywords : Microsoft Excel, Risk Management, SOC, SQL About the job Experience: •1+ years of leadership experience •2+ years of experience in claims operations, claims systems, or business systems analysis within healthcare or insurance Required Skills: •Claims Systems Oversight & Hands-On Support •Oversee daily operation and performance of claims administration systems, including Actisure and related platforms •Perform hands-on system configuration and maintenance, including benefit plans, provider setup, code sets, user roles, permissions, and claims correspondence •Monitor system functionality and directly address issues impacting claims processing accuracy, timeliness, and compliance •Maintain system controls and ensure adherence to operational standards •Translate business and operational changes (e.g., new products, benefit updates, enrollment changes, regulatory requirements) into system requirements •Configure, review, and validate system updates to ensure accuracy prior to release •Participate directly in system build, testing, and validation activities Qualifications: •In-depth knowledge of claims processing workflows and system configurations •Proficiency in data analysis and reporting (e.g., Excel, SQL, or similar tools preferred) •Operational familiarity with system testing methodologies (UAT, regression testing) •Demonstrated capacity to translate business and product requirements into operational system solutions. •Knowledge of claims lifecycle, benefit structures, and eligibility processes •Understanding of regulatory and compliance requirements impacting claims processing •Exposure to payment integrity and reconciliation processes preferred •Competitive base pay + annual bonus Compensation: •Generous PTO accrual program with carry-over option Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!