Talent.com
Claims Operations Manager

Claims Operations Manager

VirtualVocationsSignal Hill, California, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Manager, Claims Operations to lead day-to-day operational activities related to claims processing and member communications.

Key Responsibilities

Establish team goals and manage achievement of objectives and key results (OKRs)

Identify process gaps and lead improvements in claims operations, focusing on automation

Oversee claims approvals, denials, and member communications during group transitions

Required Qualifications

5+ years in a leadership role with direct reports, preferably in a remote or hybrid setting

8+ years of experience in claims processing, medical billing, or pharmacy benefits

Experience with document management and member communication outreach preferred

Strong executive-level communication and interpersonal skills

Ability to lead teams in a fast-changing environment

serp_jobs.job_alerts.create_a_job

Operation Manager • Signal Hill, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Sr Manager, Claims Operations

Sr Manager, Claims Operations

Advanced Medical ManagementLong Beach, CA, US
serp_jobs.job_card.full_time
The Senior Manager of Claims Operations is responsible for overseeing the intake, adjudication, and processing of medical claims in compliance with ERISA, CMS, and health plan guidelines.This leade...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Audit Manager

Claims Audit Manager

Advanced Medical ManagementLong Beach, CA, US
serp_jobs.job_card.full_time
Strong background on Medi-Cal, Commercial, and Medicare benefits, including coordination of benefits.Works closely with all departments necessary to ensure that processes, programs and services are...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Manager - Claims Revenue Recovery

Manager - Claims Revenue Recovery

Astrana Health, Inc.Monterey Park, CA, US
serp_jobs.job_card.full_time
Job Title : Manager - Claims Revenue Recovery .The Revenue & Recovery Claims Manager is responsible for overseeing the daily operations of the claims recovery and revenue integrity team.Thi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Examiner III

Claims Examiner III

AmpcusLos Angeles, CA, US
serp_jobs.job_card.full_time
Technology and Business consulting services.We are in search of a highly motivated candidate to join our talented team.Location(s) : Los Angeles, CA Key Responsibilities : The Claims Examiner III is ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Sr. Claims Director

Sr. Claims Director

Webilent Technology, Inc.Huntington Beach, CA, United States
serp_jobs.job_card.temporary
This includes supervising daily operations, leading quality assurance programs, and collaborating with executive leadership to align departmental strategies with organizational goals.The ideal cand...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Property Vendor Relations Manager

Claims Property Vendor Relations Manager

AAACosta Mesa, CA, US
serp_jobs.job_card.full_time
Claims Property Vendor Relations Manager.This management position serves as an instrumental component of the day to day activities within the homeowner claims unit. Primary functions include coordin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claims Team Manager

Claims Team Manager

AAAArcadia, CA, US
serp_jobs.job_card.full_time
This management position serves as an instrumental component of the day-to-day activities within the claims unit.Primary functions include coordinating, directing, and overseeing claims activities ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Claims Delegation (Oversight) Manager

Claims Delegation (Oversight) Manager

Verda Healthcare IncHuntington Beach, CA, US
serp_jobs.job_card.full_time
Claims Delegation (Oversight) Manager.Function as a liaison and resource to the delegated entities regarding claims regulatory requirements, as well as communication of new or revised requirements....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Casualty Claims Unit Manager

Casualty Claims Unit Manager

AAACosta Mesa, CA, US
serp_jobs.job_card.full_time
This management leadership position is typically responsible for managing four to ten Claims Teams, or it can manage specialized functions within the Claims business unit.The primary functions incl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Senior Claims Examiner, FT Days

Senior Claims Examiner, FT Days

PIH HealthWhittier, CA, US
serp_jobs.job_card.full_time
Senior Claims Examiner, FT Days.The Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required gui...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Property Team Manager

Claims Property Team Manager

AAACosta Mesa, CA, US
serp_jobs.job_card.full_time
This management position serves as an instrumental component of the day-to-day activities within the homeowner claims unit. Primary functions include coordinating, directing, and overseeing homeowne...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claim Director

Claim Director

ChubbLos Angeles, CA, US
serp_jobs.job_card.full_time
Focus on the core content of the job post, removing all extra metadata, headers, and redundant information.Keep the formatting beautiful and high signal to noise ratio.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claims Supervisor

Claims Supervisor

Russell TobinAzusa, CA, US
serp_jobs.job_card.full_time
Russell Tobin's client is hiring a Claims Supervisor in Irwindale, CA.Supervise daily operations of in-person claims advisor teams at the support center. Ensure claims advisors provide empathetic, a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Senior Claim Examiner

Senior Claim Examiner

ChubbLos Angeles, CA, US
serp_jobs.job_card.full_time
Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Manager

Claims Manager

AIDS Healthcare FoundationLos Angeles, CA, US
serp_jobs.job_card.full_time
AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!.Does the idea of doing something that really makes a difference in people’s lives while being well-compensated i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Audit Supervisor, FT Days

Claims Audit Supervisor, FT Days

PIH HealthWhittier, CA, US
serp_jobs.job_card.full_time
Claims Audit Supervisor, FT Days.The Supervisor, Claims Audit is responsible for overseeing and managing claims auditors / trainers and ensuring that all policies and procedures are enforced as it re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Operations Manager-CA

Operations Manager-CA

CVS HealthLong Beach, CA, US
serp_jobs.job_card.full_time +1
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading h...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Estimating Manager

Claims Estimating Manager

ALLIED PUBLIC ADJUSTERS INCNewport Beach, CA, US
serp_jobs.job_card.full_time
If youve led estimating teams and obsess over accuracy, come scale something bigger.At Allied Public Adjusters, we dont just write scopeswe uncover the full truth behind every loss.Since 1997, weve...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Operations Claims Associate

Operations Claims Associate

Pacific LifeNewport Coast, CA, US
serp_jobs.job_card.full_time
Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead our policyholders count on us to be there when it matters most. It's a big ask, but it's one that we ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Sr. Claims Director (Huntington Beach)

Sr. Claims Director (Huntington Beach)

Webilent Technology, Inc.Huntington Beach, CA, US
serp_jobs.job_card.part_time +1
This includes supervising daily operations, leading quality assurance programs, and collaborating with executive leadership to align departmental strategies with organizational goals.The ideal cand...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days