Find Jobs
Find Jobs Near You – Available Work in Your Location
Skip to job details
CS
Conduent State Healthcare, LLC
Supervisor, Transaction Processing
Career Insights for Claims Supervisor
See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.
Scorecard
Based on New Jersey data
Review key factors to help you decide if this role fits your goals. How is this calculated?
What they do
A Claims Supervisor is responsible for a team of claims examiners and associated staff. Oversees team success and ensures that claims practices and procedures comply with contracts, regulations, and guidelines.
$110,838 / year median in New Jersey
+3% projected growth
Job Description
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. As the Transaction Processing Supervisor, you will lead the day‑to‑day operations of the Eligibility Processing Unit, ensuring timely and accurate application and renewal determinations. You will be responsible for maintaining compliance with all contractually required performance standards while supervising Eligibility Health Benefit Coordinators (HBCs), optimizing workflows, and upholding personnel policies. This position requires strong leadership, analytical thinking, and a commitment to operational excellence. Responsibilities Operational Leadership Oversee daily operations of the eligibility determination and renewal functions, ensuring accuracy, timeliness, and compliance with contract requirements. Maintain adequate staffing levels during regular business hours and extended periods of operation, including overtime, to meet service demands. Establish work procedures, prepare schedules, and manage workflow to support efficient processing. Study, standardize, and improve procedures to enhance overall operational effectiveness. Team Management & Development Supervise Eligibility HBCs, monitoring productivity and conducting performance reviews at least annually. Ensure staff understand and adhere to contractually mandated performance standards. Identify training needs and provide coaching, development, and ongoing support. Provide clear direction to help staff meet service level, quality, and productivity expectations. Address employee performance concerns and support corrective action planning when needed. Quality, Compliance & Customer Support Review productivity metrics and analyze data related to data entry and eligibility processing. Ensure staff communicate effectively with beneficiaries during outbound follow‑up calls. Address customer inquiries and recommend corrective actions to resolve issues. Manage escalated cases related to renewals, eligibility determinations, and complex customer situations. Apply creative problem‑solving skills to navigate challenging or unique scenarios. Develop, implement, and maintain processes that support accurate and efficient eligibility and renewal operations. Requirements Minimum of three (3) years of experience managing an eligibility, transaction processing, or data entry business unit. Strong understanding of call center operations, performance metrics, and workforce management. Strong analytical, problem‑solving, and written communication skills. Ability to manage multiple priorities, meet deadlines, and remain flexible in a fast‑paced environment. Excellent verbal and interpersonal communication skills. Proficiency in MS Office Suite (Word, Excel, PowerPoint, Outlook). Ability to collaborate effectively with individuals from diverse backgrounds. Availability to work overtime, evenings, and some weekend hours, as needed. Preferred Hold a bachelor's degree. Have experience managing remote resources. Have supervisory experience in government services related to health and human services. Exhibit knowledge of public sector contracting, health care financing, delivery systems, and quality monitoring processes. Show general understanding of public health, managed care, human services systems, and local/statewide political environments. Be familiar with Medicaid, CHIP, and human services programs, particularly NJ FamilyCare. Ability to communicate effectively in Spanish, both verbally and in writing. Flexible Working At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too. In this role, you can expect the following working conditions: Onsite work: Work in our local office, receiving personal coaching and leadership so that you can provide the best support to our clients and help you grow in your career. Working For You Perks and rewards designed for you: