Claims Manager

Job Summary

Managing end-to-end service models for provider segments, the full-time Claims Manager will oversee claims processing, financial reporting, and customer service while working remotely in North Carolina.

Key responsibilities

• Streamline claims processing and set operational processes to meet business targets
• Manage financial recovery activities, including refunds and collections, while ensuring compliance with accounting principles
• Collaborate with various stakeholders to resolve complex claims appeals and improve customer satisfaction

Required qualifications

• Bachelor's degree or advanced degree (where required)
• 8+ years of experience in a related field, or 10+ years of experience in lieu of a degree
• Demonstrated claims operations experience in a regulated claims environment
• Experience leading claims teams and managing performance
• Proven understanding of claims systems and processing workflows