What are the responsibilities and job description for the Claims Adjudication Supervisor - State Program Administrator Supervisor Senior - Paid Leave position at Minnesota Department of Employment and Economic Development?
Working Title: Claims Adjudication Supervisor
Job Class: State Program Administrator, Supervisor Senior
Agency: Department of Employment and Economic Development
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:
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:
Additional Requirements
A job offer will be contingent upon successfully passing a background check. The background check may consist of the following components:
How To Apply
Select “Apply for Job” at the top of this page. If you have questions about applying for jobs, contact the Careers Help Desk at 651-259-3637 or email careers@state.mn.us. For additional information about the application process, go to http://www.mn.gov/careers.
Connect 700 Program
To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID#, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Talent Acquisition at talent.acquisition.deed@state.mn.us.
Veterans
To be considered with Veteran's Status, you MUST indicate this on your application and submit a copy of your DD-214 form and other required documentation to talent.acquisition.deed@state.mn.us by the closing date.
Recently Separated Veterans (RSV): Effective July 1, 2009, legislation provides that the top five RSV applicants who apply and meet the qualifications for a vacancy shall be granted an interview.
Certain Disabled Veterans: Effective August 1, 2012, legislation provides state agencies with the option to appoint certain disabled veterans on a non-competitive basis.
See the above links for criteria and eligibility.
Current State Employees
If you have questions about this position, contact Nellie Saunders at nellie.saunders@state.mn.us.
To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID#, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Nellie Saunders at nellie.saunders@state.mn.us.
Benefits
As an employee, you'll have access to one of the most affordable health insurance plans in Minnesota, along with other benefits to help you and your family be well.
Your benefits may include:
EQUAL OPPORTUNITY EMPLOYERS
Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.
Applicants With Disabilities
Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the Careers Help Desk at 651-259-3637 or email careers@state.mn.us and let us know the support you need.
The Department of Employment and Economic Development is an equal opportunity, affirmative action, and veteran-friendly employer, and encourages all qualified candidates to apply for job opportunities. If you are an individual with a disability who needs assistance or cannot access the online job application and search tools, please contact Karen Lilledahl at Karen.Lilledahl@state.mn.us. Please indicate what assistance is needed.
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: Yes
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 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
- 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.
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
How To Apply
Select “Apply for Job” at the top of this page. If you have questions about applying for jobs, contact the Careers Help Desk at 651-259-3637 or email careers@state.mn.us. For additional information about the application process, go to http://www.mn.gov/careers.
Connect 700 Program
To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID#, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Talent Acquisition at talent.acquisition.deed@state.mn.us.
Veterans
To be considered with Veteran's Status, you MUST indicate this on your application and submit a copy of your DD-214 form and other required documentation to talent.acquisition.deed@state.mn.us by the closing date.
Recently Separated Veterans (RSV): Effective July 1, 2009, legislation provides that the top five RSV applicants who apply and meet the qualifications for a vacancy shall be granted an interview.
Certain Disabled Veterans: Effective August 1, 2012, legislation provides state agencies with the option to appoint certain disabled veterans on a non-competitive basis.
See the above links for criteria and eligibility.
Current State Employees
- Please apply via Self Service.
- If eligible for bidding or expression of interest: This vacancy will be open for bids/expression of interest and all qualified applicants simultaneously. Current employees of DEED who are currently in the same classification, who are eligible, and apply within the seven (7) day period will be considered prior to filling the position by other means.
If you have questions about this position, contact Nellie Saunders at nellie.saunders@state.mn.us.
To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID#, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Nellie Saunders at nellie.saunders@state.mn.us.
Benefits
As an employee, you'll have access to one of the most affordable health insurance plans in Minnesota, along with other benefits to help you and your family be well.
Your benefits may include:
- Paid vacation and sick leave
- 12 paid holidays each year
- Low-cost medical, dental, vision, and prescription drug plans
- Fertility care, including IVF
- Diabetes care
- Dental and orthodontic care for adults and children
- 6 weeks paid leave for parents of newborn or newly adopted children
- Pension plan that provides income when you retire (after working at least three years)
- Employer paid life insurance to provide support for your family in the event of death
- Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury
- Tax-free expense accounts for health, dental, and dependent care
- Resources that provide support and promote physical, emotional, social, and financial well-being
- Training, classes, and professional development
- Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov)
- A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well-being, or job performance
- Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues
- Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care
EQUAL OPPORTUNITY EMPLOYERS
Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.
Applicants With Disabilities
Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the Careers Help Desk at 651-259-3637 or email careers@state.mn.us and let us know the support you need.
The Department of Employment and Economic Development is an equal opportunity, affirmative action, and veteran-friendly employer, and encourages all qualified candidates to apply for job opportunities. If you are an individual with a disability who needs assistance or cannot access the online job application and search tools, please contact Karen Lilledahl at Karen.Lilledahl@state.mn.us. Please indicate what assistance is needed.
Salary : $62,848 - $91,015
