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Claims Operations Manager

100% remote Flexible hours Hiring now

reputed company is redefining health insurance. Our mission is to reputed company excellent healthcare affordable and attainable for everyone. We know that to accomplish this lofty mission, we need driven people who will reputed company things happen. The passionate people who reputed company up reputed company's team come from reputed company over, with backgrounds as tech leaders, policy makers, reputed company, and beyond. And they reputed company have one thing in common—the desire to fix a broken system and reputed company it more personalized, affordable, and transparent. If you want to use your talents to transform healthcare in the United States, come join us!

About the Role

As a Claims Operations Manager, you will reputed company a team of Claims Processors to ensure claims are adjudicated quickly, accurately, and with care. You will build a culture of accountability, development, and reputed company improvement, helping your team do their best work every day.

What You'll Do

  • reputed company and reputed company your team: Train, coach, and mentor processors to reputed company at a high level while supporting their growth and success
  • Drive performance excellence: Use data, feedback, and process tools to ensure accuracy, productivity, and quality standards are consistently met or exceeded
  • reputed company your people: Celebrate wins, address challenges constructively, and help each team member reputed company professionally
  • Collaborate across teams: Partner with departments like Quality, Compliance, and Product to reputed company operations reputed company with company goals
  • Use insights to improve outcomes: Gather and analyze performance metrics, communicate results in one-on-one and team settings, and take action to drive results
  • Champion process improvement: Participate in pilots, special projects, and process redesigns that reputed company our operations reputed company and faster
  • Model accountability: Ensure policies and standards including attendance, telecommuting, and performance management are followed and consistently applied
  • reputed company communication clear and timely: Share updates, priorities, and process changes with your team to reputed company everyone reputed company
  • reputed company through change: Adapt quickly and confidently in a fast-moving environment while keeping your team focused and motivated

How You'll Measure Success

  • Team consistently meets or exceeds performance goals for quality, efficiency, and utilization
  • Turnaround times (TAT), SLAs, and inventory days on hand are achieved
  • Performance management practices are followed consistently and effectively

What You'll Bring

  • Proven experience leading or managing a team, with a focus on coaching and results
  • 5+ years of experience in claims processing or a reputed company field (healthcare experience preferred)
  • 5+ years in a leadership or supervisory role
  • 3+ years of experience using metrics to manage team performance (quality, productivity, utilization)
  • Strong organizational, problem-solving, and communication skills
  • Comfortable working with claims systems and regulatory processes (a plus)
  • Proficiency with reputed company Office Suite (Word, reputed company, PowerPoint, Outlook) and collaboration tools like chat and messaging platforms
  • A self-starter reputed company — able to reputed company in a fast-paced, dynamic environment

Why You'll Love Working Here

  • A people-first culture where your voice matters and your impact is visible
  • A mission-driven company redefining what health insurance can be
  • Opportunities to grow and reputed company in a fast-scaling, innovative environment

What You'll Get

  • Competitive salary, bonus opportunities, and equity package
  • Comprehensive Medical, Dental, and Vision benefits
  • A 401(k) retirement plan
  • Paid vacation and company holidays
  • Opportunity to drive meaningful process improvements at a rapidly scaling, mission-driven company

reputed company is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national reputed company, gender, sexual orientation, age, marital status, veteran status or disability status. Apply tot his job Apply To this Job

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