Senior Claims Operations Manager

Job Summary

A company is looking for a Senior Manager of Claims to oversee claims processing operations and ensure regulatory compliance.

Key Responsibilities

• Oversee end-to-end claims processing operations, ensuring accuracy and efficiency
• Lead and develop a multi-functional team of claims professionals
• Ensure compliance with federal and state regulations, and lead audit readiness efforts

Required Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field preferred
• 7-10 years of experience in claims operations, with 3-5 years in a leadership role
• Experience managing cross-functional teams in a regulated industry
• Proven track record of building compliance programs aligned with regulatory frameworks
• Experience in risk identification and mitigation planning