Claims Operations Manager

Job is Expired
Location: Remote
Compensation: Salary
Reviewed: Thu, May 29, 2025

Job Summary

A company is looking for a Manager, Claims Operations.

Key Responsibilities
  • Oversee the day-to-day management of the Claims Operations team and ensure KPIs are met
  • Monitor claims processing operations, identify issues, and implement improvements to workflows
  • Utilize data analytics to track performance metrics and conduct staff performance reviews
Required Qualifications
  • 3-5 years of management experience in claims operations
  • Advanced knowledge of claims processing and data analysis
  • Proficiency in Microsoft applications, especially Excel
  • Experience with HMO medical insurance claims and EDI transactions
  • Understanding of claims processing compliance requirements

COMPLETE JOB DESCRIPTION

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