Healthcare Claims Operations Lead

Operations; Philippines; On-site; PHP 600,000 - 900,000; Full time

Benefits offered by this job

Competitive compensation package

Career development & advancement

Team-building activities

Work-life balance

Job summary

KAVI Philippines is seeking an experienced Assistant Manager to join our healthcare claims processing team. Supporting the Operations Manager, you will help lead a team of about 25 Claims Processing Executives, focusing on performance monitoring, coaching, and process improvements to drive operational success.

You will supervise day-to-day activities, mentor specialists, monitor KPIs, and collaborate with Quality, Training, IT, and HR to meet service goals.

Qualifications

• 5–7 years of experience in call center operations, preferably healthcare (RCM/AR experience a plus).
• Minimum 2 years in a leadership or supervisory role.
• Fluent in English, with strong verbal and written communication skills.
• Proficiency in Microsoft Office (Excel, Word, Outlook, PowerPoint).

Responsibilities

• Support operations in supervising and managing day-to-day activities of the call center team.
• Provide direct coaching and mentoring to a team of Claim Resolution Specialists to drive efficiency and quality.
• Monitor key performance metrics and assist in implementing strategies for improvement.
• Promote a culture of continuous improvement and accountability within the team.
• Assist with workforce planning and ensure shift schedules are met.
• Support quality assurance efforts and maintain high levels of customer service.
• Participate in performance evaluations and provide regular feedback to team members.
• Communicate updates and process changes clearly to ensure team alignment.
• Collaborate with internal departments such as Quality, Training, IT, and HR to address operational needs.
• Assist in the recruitment, onboarding, and training of new team members.
• Act as a liaison between the frontline team and management to elevate concerns and share insights.
• Serve as a subject matter resource on claims resolution processes and client expectations.

Skills

Team Leadership

Coaching

Performance Monitoring

English Communication

Workflow Optimization

Education

Bachelor’s Degree or equivalent

Tools

Microsoft Office

Job description

KAVI Philippines is seeking an experienced Assistant Manager to join our healthcare claims processing team. Supporting the Operations Manager, you will help lead a team of about 25 Claims Processing Executives, focusing on performance monitoring, coaching, and process improvements to drive operational success.

You will supervise day-to-day activities, mentor specialists, monitor KPIs, and collaborate with Quality, Training, IT, and HR to meet service goals.