Supervisor

• Lead, mentor, and support a geographically dispersed team of Care Coordinators serving CHOICES members throughout Middle Tennessee
• Oversee daily operations and provide clinical and operational guidance
• Monitor staff performance, quality metrics, documentation standards, utilization benchmarks, and regulatory compliance
• Ensure members receive needed support and services to remain safely in their homes or nursing facilities
• Provide hands-on guidance for complex, high-profile, and escalated member situations
• Collaborate with providers, nursing facilities, community partners, and internal departments to address member needs and service gaps
• Coach and develop staff through training, case consultation, and performance management
• Assist with workforce planning, onboarding, workload balancing, and operational improvement initiatives
• Complete reports, audits, and deliverables accurately and on time
• Provide direct support during member crises, challenging family interactions, and critical care coordination situations
• Supervise, direct, and evaluate diverse health care professionals
• Communicate and mentor care coordination team members to ensure policies, procedures, and long-term and home- and community-based care guidelines are followed
• Periodically carry a caseload of members when required by census fluctuations or staffing coverage
• Travel throughout the Middle Tennessee region as business needs dictate

CHOICES Supervisor – Middle Grand Region

• Supervise, train, and monitor assigned claims adjusters and other claims personnel
• Assist Claims Leadership in overseeing and handling claims
• Manage overall operations of a designated area
• Interview, hire, train, and direct personnel
• Prepare and conduct performance assessments, coordinate discipline, and oversee employee development
• Review claims and adjusters’ files for coverage and adequate reserves
• Answer claims questions, review claim correspondence, and provide counsel on further action
• Resolve coverage and unusual questions within designated authority and conduct related research
• Maintain and apply working knowledge of adjusters’ files and statutory laws
• Recommend and participate in developing and evaluating claims procedures with the Claims Manager
• Handle claim complaints and inquiries
• Assist the Claims Manager and act on the manager’s behalf as necessary
• Direct processing of legal papers served upon ERIE and outside legal counsel activities
• Assist in trial preparation and attend pre-trial functions and trials as necessary
• Review reports, payments, and buyer information; negotiate with salvage auctions and salvage yards as required
• Contribute to projects, initiatives, teams, and assignments supporting business strategy and operational outcomes
• Serve on the Catastrophe Team, including travel on short notice to other locations

Claims Supervisor

• Lead and oversee Zero Balance operations
• Provide daily supervision, coaching, and support to assigned team members
• Manage hiring, onboarding, training, performance management, and corrective action
• Prepare and deliver performance evaluations and account reviews
• Train and mentor staff on accuracy, payer strategy, and zero balance recovery practices
• Perform quality-control reviews for due diligence, compliance, and workflow adherence
• Identify and pursue recovery opportunities in large inventories of zero-balance hospital claims
• Analyze claim payments using proprietary systems, tools, and payer documentation
• Prepare and submit bill packets and appeal letters
• Follow up with insurance companies to drive correct reimbursement
• Research and compile medical records, implant invoices, and supporting documentation
• Apply CPT, ICD-10, and modifier knowledge to claims, appeals, and recovery strategy
• Escalate access and claim-resolution roadblocks
• Coordinate responses to external client requests and reported issues
• Facilitate meetings on client concerns, process improvements, and operational challenges
• Communicate directly with clients about system access, documentation, payment research, and training
• Partner with Managers to prioritize work and align operational goals
• Collaborate with Data Analytics, Data, and Product teams on claim, payment, data-import, and calculation issues
• Support departmental and enterprise operational initiatives

Supervisor, Zero Balance Denials

• Lead and develop hourly production teams to achieve Safety, Quality, Delivery, and Cost goals across the manufacturing operation.
• Ensure production plans are executed efficiently while maintaining high standards of safety, quality, and compliance.
• Drive continuous improvement initiatives through Lean Manufacturing, Kaizen events, standard work, and process optimization.
• Collaborate with Quality, Engineering, Materials, Planning, Maintenance, and Safety teams to improve productivity, delivery performance, and product quality.
• Lead daily management activities, monitor performance, and ensure production schedules are achieved through effective resource utilization.
• Coach, train, and develop employees while supporting succession planning, performance management, and workforce capability growth.
• Support problem solving, troubleshooting, safety investigations, and implementation of sustainable corrective actions.

Production Supervisor

• Provide leadership to the Production Department and ensure day-to-day execution of production activities
• Ensure consistent operation of all equipment and processes
• Ensure delivery of consistent services and products meeting customer objectives and expectations
• Directly supervise the designated shift and act as a technical resource
• Rotate between shifts as needed
• Ensure Associates are trained to meet job requirements
• Direct and complete Associate performance reviews
• Ensure safety, on-time delivery, quality, Associate and process efficiency, continuous improvement, and product timeliness
• Verify daily labor times
• Participate in cross-functional teams as a production representative to reduce variance
• Participate in, promote, and actively use Lean Manufacturing Principles
• Maintain a safe and clean work environment
• Assist with work-related accident reports and investigations
• Ensure compliance with safety and environmental procedures and regulations
• Schedule the department to meet production and shipment schedules
• Participate in and engage in continuous improvement projects
• Perform other projects or tasks assigned by Management

• Supervise assigned Revenue Services teams daily
• Serve as the primary escalation point for claims-resolution roadblocks and client issues
• Direct Account Managers and Revenue Specialists in resolving claims and client issues
• Partner with Managers to prioritize daily team tasks
• Prepare performance evaluations and account reviews with the Department Leader
• Analyze and evaluate claim payments using proprietary software, systems, and tools
• Verify provider reimbursement against applicable state workers’ compensation fee schedules and PPO contracts
• Research and acquire medical records, implant manufacturer invoices, and supporting documentation for claims reimbursement
• Coordinate internal communication and messaging for external client requests and issues
• Create, review, and maintain external-facing client reports
• Facilitate internal and external process-improvement and issue-resolution meetings
• Respond to external clients regarding remote system access, document requests, payment research, and end-user training
• Conduct telephone follow-up with insurance companies to ensure proper reimbursement
• Prepare initial bill packets and appeal letters
• Collaborate with Data Analytics, Data Quality, and Document Management teams
• Train and mentor staff, including new hires
• Perform quality-control tasks for account flow and due diligence
• Manage more difficult client accounts
• Participate in hiring, training, performance management, and corrective action throughout the employee lifecycle
• Handle protected health information and maintain confidentiality and security
• Support operational initiatives through team collaboration
• Perform other duties as required

Supervisor jobs in Tennessee

CHOICES Supervisor – Middle Grand Region

Claims Supervisor

Supervisor, Zero Balance Denials

Production Supervisor

Production Supervisor

Supervisor, OSM