Who We Are

Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Ready to Be the Problem-Solving Champion Our Clients Count On?

We're looking for a seasoned operations leader who thrives on turning complex claims challenges into seamless solutions. As our Supervisor of Claims Escalation, you'll lead a specialized team that tackles the toughest cases—ensuring every client and member gets the resolution they deserve, when they need it most.

What makes this role different:

✓ High-stakes impact: Your decisions directly affect member care and client satisfaction in our most challenging cases

✓ Leadership opportunity: Build and mentor a team of claims specialists while driving operational excellence

✓ Process improvement focus: Identify root causes and implement solutions that prevent future escalations

✓ Cross-functional influence: Partner with legal, clinical, and account teams to deliver comprehensive resolutions

What You'll Actually Do

Lead the escalation experts: Supervise daily operations of your team, ensuring complex cases are prioritized, investigated thoroughly, and resolved efficiently.

Be the final authority: Serve as the go-to escalation point for sensitive claims requiring advanced investigation, regulatory compliance review, or specialized decision-making.

Drive quality excellence: Review escalated claims for accuracy and adherence to company policies, state/federal regulations, and client requirements—ensuring every decision stands up to scrutiny.

Solve systematically: Partner with internal teams to resolve disputes, identify root causes, and implement process improvements that reduce future escalations.

Develop your people: Provide coaching, training, and performance feedback that transforms team members into claims resolution experts.

Monitor and optimize: Track key metrics, prepare comprehensive reports, and use data-driven insights to continuously improve resolution times and customer satisfaction.

What You Bring to Our Mission

The leadership foundation:

• Bachelor's degree in business, Healthcare Administration, or related field preferred (equivalent experience considered)
• 3-5 years of experience in claims processing, adjudication, or related healthcare/insurance operations
• 2+ years in a supervisory or lead role preferred

The expertise that matters:

• Deep knowledge of claims systems, processes, and applicable state/federal regulations
• Proven ability to coach, mentor, and develop high-performing team members
• Proficiency with claims systems, Office Suite, and reporting tools

The qualities that set you apart:

• Exceptional problem-solving and analytical skills with keen attention to detail
• Strong interpersonal and communication abilities—especially in managing sensitive situations
• Track record of turning complex operational challenges into streamlined processes

Why You'll Love It Here

We believe in total rewards that actually matter—not just competitive packages, but benefits that support how you want to live and work.

Your wellbeing comes first:

• Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!)
• Mental health support and wellness programs designed by experts who get it
• Flexible work arrangements that fit your life, not the other way around

Financial security that makes sense:

• Retirement planning support to help you build real wealth for the future
• Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
• Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage

Growth without limits:

• Professional development opportunities and clear career progression paths
• Mentorship from industry leaders who want to see you succeed
• Learning budget to invest in skills that matter to your future

A culture that energizes:

• People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation
• One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges
• We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results
• Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable

The practical stuff:

• Competitive base salary that rewards your success
• Unlimited PTO policy because rest and recharge time is non-negotiable
• Benefits effective day one—because you shouldn’t have to wait to be taken care of

Ready to create a healthier world? We're ready for you.

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $52,000 to $62,000 annually. Note that compensation may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.

#WeAreHiring #PersonifyHealth

Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to talent@personifyhealth.com. All of our legitimate openings can be found on the Personify Health Career Site.

Application Deadline: Open until position is filled.