Manager, Claims Operations

As the Manager, Claim Operations you will play a key role in Guidehealth’s expansion and growth. You will provide operational oversight to the claims production and the inventory and reporting teams to ensure all required KPIs and Metrics are being met. Responsible for the day-to-day management of the Claim Operations team. Maintains and improves claims processing operations by monitoring system performance; identifying and resolving problems; preparing and completing action plans. Assessing and assigning workflow, coaching, counseling. Use reporting data analytics to track KPIs and report to leadership on a daily, weekly, monthly basis. Monitor individual Analysts quality and production measures, conducting staff performance conversations, monthly 1:1’s with individual staff to review their concerns, give feedback, mentor goals and career progression. Responsible for writing and maintaining desktop procedures for claims processing functions.