Team Manager | AO Clinical Claims (Pooling)
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 healthcare clients
Domain
Healthcare / Insurance Claims / BPO
Required skills
Clinical nursing expertise, People management, HIPAA compliance, Performance management, Process improvement, Stakeholder management
Preferred skills
Disability Claims Management, Utilization Management, Lean Six Sigma certification, Client-facing operational reviews
Technologies
None stated
Responsibilities
Manage daily operations of clinical claims teams, Coach and develop team members, Ensure compliance with HIPAA and client requirements, Support client reviews and business objectives, Drive process improvement initiatives, Handle employee relations matters
Seniority
Senior, hands-on IC with people leadership