Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)

Play a vital role on our Claims leadership team, you will manage a team of claim examiners, auditors, and support staff toward operational excellence. The Claims Manager of the Medicare Advantage Plan will:

• Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business processes and maximize the accuracy of claims payments.
• Foster a positive, high-performing team culture focused on quality and exceptional customer service
• Identify opportunities to enhance workflows, resolve complex claim issues, and develop practical standard operating procedures
• Empower the team to navigate challenging scenarios with confidence and consistency