Team Manager | AO Clinical Claims
Core
Lead a team of Clinical Claims Associates/Specialists to support Accident & Occupational (AO) Clinical Claims operations, ensuring operational excellence, quality standards, and regulatory compliance.
Role type
Senior Team Manager, Healthcare Claims Operations
Builds
Accurate claims processing and exceptional customer outcomes for insurance/healthcare clients
Domain
Healthcare / Insurance Claims / Utilization Review
Deliverable
client delivery
Required skills
Clinical nursing expertise, people management, HIPAA compliance, performance coaching, process improvement, stakeholder management
Preferred skills
Disability claims management, Utilization Management, Case Management, Lean Six Sigma certification, Healthcare BPO operations
Technologies
None stated
Responsibilities
Manage daily operations of clinical claims teams, coach and develop team members, ensure compliance with HIPAA and client standards, drive process improvement initiatives, handle employee relations matters
Seniority
Senior, hands-on IC with people leadership