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Claims Operations Senior Manager

7/4/2025

No location specified

Job Summary

A company is looking for a Claims Operations, Senior Manager.

Key Responsibilities
  • Lead a team of approximately 20 claims processors in the Self-Funded segment of the Health Insurance industry
  • Oversee and optimize operational aspects of service delivery to ensure efficient healthcare services
  • Implement quality assurance programs to monitor service quality and compliance with regulations
Required Qualifications
  • Minimum 7 years of work experience in claims operations
  • Healthcare industry experience, with TPA experience in self-funding highly preferred
  • Prior leadership experience managing a large team
  • Bachelor's degree preferred or specialized training/relevant professional qualification
  • Adept at execution, business intelligence, and collaboration

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