Claims Operations Manager (U.S. Healthcare Claims)

Claims Operations Manager (U.S. Healthcare Claims)

We are looking for a Claims Operations Manager / Claims Supervisor to lead U.S. healthcare claims operations, with a strong focus on team performance, quality, service levels, stakeholder communication, and continuous improvement. This role is ideal for a people leader with solid experience in healthcare claims, adjudication, or revenue cycle operations who can drive results in a fast-paced, metrics-driven environment.

Key Responsibilities

• Lead daily claims operations to meet accuracy, productivity, quality, and service level goals.
• Manage team performance through coaching, performance monitoring, and issue resolution.
• Partner with training and QA teams to strengthen onboarding, refresher training, accuracy, and consistency.
• Handle client or stakeholder communication, escalations, and operational updates in a timely and professional manner.
• Provide regular business...