Operations Expert (US)
Core
Provide technical direction, guidance, and resources to operations, claims, and customer service associates; handle complex case research and resolution while monitoring workflow and inventory.
Role type
Operations Expert (Service Operations)
Builds
Operational workflows and service delivery for claims and customer service teams
Domain
Healthcare operations and claims processing
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Automated processing systems expertise, multi-tasking, complex case resolution, record review and maintenance, policy/procedure manual review, inventory monitoring
Preferred skills
Leadership experience, advanced Excel skills, data analysis, training and mentoring experience
Technologies
Automated processing systems, Excel
Responsibilities
Serve as first-line resource for workflow and technical processes; provide operational training; answer day-to-day technical questions; monitor inventory to ensure uninterrupted workflow; handle complex case research and resolution; review and maintain service level and quality records; review department policy and procedure manuals for accuracy
Seniority
Individual Contributor, 5+ years experience