Head of Claims

Overview

Senior-level leader overseeing claims operations in a healthcare startup.

Ideal candidate has 5+ years in health insurance claims management and TPA experience.

Locations

• United States

Requirements

• 5+ years in health insurance claims management
• Senior leadership experience at a TPA
• Deep knowledge of health insurance claims processing

Responsibilities

• Lead and oversee health insurance claims functions
• Supervise and mentor claims team
• Build and refine SOPs and workflows
• Conduct performance evaluations
• Foster a positive work environment
• Oversee claims processing and appeals
• Monitor claim trends for process improvements
• Develop claims auditing program