Claims Operations Manager

Job Summary

A company is looking for a Manager, Claims Operations.

Key Responsibilities

• Oversee the day-to-day management of the Claims Operations team
• Monitor claims processing operations, identify issues, and implement action plans to improve efficiency
• Utilize data analytics to track KPIs and report performance metrics to leadership

Required Qualifications

• 3-5 years of experience in management of claims operations
• Advanced knowledge of claims processing and performance metrics
• Proficient in Microsoft applications, particularly Excel
• Experience with HMO medical insurance claims and federal/state regulations
• Demonstrated project management experience and ability to work independently