Claims Operations Senior Manager

Job Summary

A company is looking for a Claims Operations Senior Manager.

Key Responsibilities

• Conduct end-to-end reviews of the claims lifecycle to identify issues contributing to payment inaccuracies
• Resolve complex operational challenges by analyzing root causes of persistent accuracy issues
• Design and implement AI-driven policies and processes to enhance claim payment accuracy and consistency

Required Qualifications

• Minimum of 5 years of experience in complex operational environments with proven results
• Bachelor's degree or equivalent work experience
• Ability to visualize and streamline complex processes into clear business operations
• Experience in leveraging data sets for strategic initiatives
• Demonstrated ability to thrive in fast-paced environments with a high standard of urgency