Directly responsible for oversight of day-to-day operations of the Claims Department, including claims assignments, staffing, performance management, personnel development, and the identification and implementation of new processes to improve efficiency. The claims manager is responsible for providing regular updates on key metrics and leading root cause analysis on misses.

What You’ll Do

    • Responsible for managing claims inventory to achieve processing SLAs and quality levels
    • Responsible for performance management, including team member development, hiring, and terming
    • Handle escalated claims to identify and decide on the best course of action
    • Execute continuous improvement items to achieve efficiency improvements
    • Lead root cause analysis and remediation plans as needed
    • Manage claims projects as assigned by claims director

What You’ll Bring

    • 3+ Years’ experience in medical claims at an Insurer, including leadership experience
    • Proven experience leading a team, including managing people who also have direct reports
    • Excellent decision-making and problem-solving skills
    • Proficient in Microsoft Excel, Word and Outlook
    • Willingness and ability to work in a fast-paced startup environment.
    • Positive, compassionate, empathetic, detail-oriented, computer literate
    • Strong interpersonal communication skills; effectively communicates in verbal and written form.
    • Certified medical coder (AAPC) or payment integrity experience is a plus
    • Bachelor’s degree required

What You’ll Get

    • Comprehensive Medical, Dental, and Vision benefits
    • Paid vacation and company holidays
    • Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.
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