Claims Operations Senior Manager

Job Summary

A company is looking for a Claims Operations, Senior Manager.

Key Responsibilities

• Lead a team of approximately 20 claims processors in the Self-Funded segment of the Health Insurance industry
• Oversee and optimize operational aspects of service delivery to ensure efficient healthcare services
• Implement quality assurance programs to monitor service quality and compliance with regulations

Required Qualifications

• Minimum 7 years of work experience in claims operations
• Healthcare industry experience, with TPA experience in self-funding highly preferred
• Prior leadership experience managing a large team
• Bachelor's degree preferred or specialized training/relevant professional qualification
• Adept at execution, business intelligence, and collaboration