**Working Title: Claims Adjudication Supervisor** **Job Class: State Program Administrator, Supervisor Senior** **Agency: Department of Employment and Economic Development** + **Job ID** : 83187 + **Location** : St. Paul + **Telework Eligible** : Yes, may be eligible to telework up to four (4) days per week + **Full/Part Time** : Full-Time + **Regular/Temporary** : Unlimited + **Who May Apply** : This vacancy is open for expressions of interest and for all qualified job seekers simultaneously. Expressions of interest should be submitted by 01/17/2025. + **Date Posted** : 01/11/2025 + **Closing Date** : 02/03/2025 + **Hiring Agency/Seniority Unit** : Employment & Economic Development Department / MMA + **Division/Unit** : Paid Family & Medical Leave + **Work Shift/Work Hours** : Day Shift, 8am to 4:30pm + **Days of Work** : Monday - Friday + **Travel Required** : No + **Salary Range:** $30.10 - $43.59 / hourly; $62,848 - $91,015 / annually + **Classified Status** : Classified + **Bargaining Unit/Union** : 216 - Middle Management Association/MMA + **FLSA Status** : Exempt - Executive + Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes **The work you'll do is more than just a job.** At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities. **About the Paid Leave Division:** Paid Leave is a new program launching in 2026. The program will provide partial wage replacement to Minnesota workers who are out of work due to a qualifying condition, such as a severe health condition that prevents them from working, or when they need time to care for a family member or a new child. We are building a program that will be easy for every Minnesotan to use. We are engaging the people who depend on us—workers, employers, caregivers, and insurers—to learn from them and build the program around their needs. We are using modern service delivery and product practices to deliver the program. The Paid Leave team has high standards and an unrelenting commitment to serving Minnesotans. It is a start-up environment without legacy systems or preconceived ways of working, so we have a unique opportunity to create human-centric processes and systems to deliver this new benefit to Minnesotans. **Position Purpose:** The Claims Adjudication Supervisor plays a critical role in the Paid Leave Division of overseeing the claims processing team, ensuring efficiency, accuracy, and compliance with program regulations. This position leads the team, manages escalated claims, and drives continuous process improvements to meet program objectives. This position works under supervision of the Claims Adjudication Manager and supervises Senior Claims Specialists and Claims Specialists. Key responsibilities include: + Oversees the quality and timeliness of claims processing. + Assign and monitor staff performance, ensuring adherence to program policies and deadlines. + Serve as the escalation point for disputed, or high-risk claims that require managerial review or special handling. + Assist with appeals process, providing guidance and ensuring compliance with statutory requirements. + Provides insight and reports on claims processing performance to management. + Collaborate with program managers to refine and improve claims adjudication processes and workflows, ensuring alignment with program goals and legal requirements. + Interacts with external partners or auditors for program compliance and efficiency. + Maintains collaborative working relationships across all divisions. + Partner with risk management and program integrity team during program reviews or audits. This position is telework (https://mn.gov/mmb-stat/policies/1422-telework.pdf) eligible and is occasionally required to be on-site at the St. Paul office. Staff are provided with the tools and equipment to be successful in a virtual work environment and may telework from anywhere in Minnesota or a neighboring state. Please note, the telework policy could change with notice based on business needs. This posting may be used to fill multiple positions. This position will be open on a continuous basis until posted end date or until all positions are filled. **Minimum Qualifications** **Please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held. Only applicants whose resumes clearly demonstrate fulfillment of each of these minimum qualifications will be considered for this position.** Two (2) years of experience in adjudication with at least one (1) of those years leading or supervising a team to achieve organizational goals in productivity and quality. Applicants that meet the above minimum qualification will be further evaluated on the following: + Knowledge of claims processing best practices and technologies, with expertise in supervising and auditing the adjudication process. + Ability to coach, mentor, and lead a team. + Ability to communicate effectively with internal and external parties. + Ability to develop, implement and improve projects to produce desired results in a timely fashion. + Ability to work in a fast-paced environment, and meeting short deadlines **Preferred Qualifications** + Knowledge of data analysis tools for monitoring performance and quality control. + Understanding of relevant laws, regulations, and policies (e.g., insurance, paid leave statutes, healthcare regulations). + Experience supervising claims in insurance, paid leave, and/or healthcare. Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experiences working effectively with others from different backgrounds and cultures. **Additional Requirements** A job offer will be contingent upon successfully passing a background check. The background check may consist of the following components: + Criminal Background Check + Employment Records Check (current and former State employees only) + Employment Reference Check + Conflict of Interest Review + Driver’s License and Records Check The Minnesota Department of Employment and Economic Development will not sponsor applicants for work visas. All applicants must be legally authorized to work in the U.S. AN EQUAL OPPORTUNITY EMPLOYER Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status. Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.