Claims Operations Leader — Health Insurance

Integrity Marketing Group; Clearwater (FL); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Integrity Marketing Group is seeking a Claims Department Manager to lead daily operations, drive performance, and ensure accurate, compliant claims processing. You’ll oversee supervisors and support functions while partnering with leadership to implement improvements and meet client and regulatory expectations.

The role emphasizes staff development, operational planning, and effective use of claims systems to deliver timely results in a fast-paced environment.

Qualifications

• Bachelor’s degree or equivalent in healthcare, business, insurance, or related field.
• Minimum five years in health claims with progressive responsibility.
• Strong leadership, analytics, and communication skills.

Responsibilities

• Lead day-to-day claims department operations and supervise staff.
• Monitor performance metrics, quality, and productivity; implement corrective actions.
• Collaborate with Director of Claims and HR on staffing and development.
• Oversee reporting, workflows, and system optimizations for regulatory and client needs.
• Partner with internal teams for project implementations and process improvements.

Skills

Leadership

People management

Analytics

Communication

MS Office

Education

Bachelor’s Degree in Healthcare Administration

Equivalent education/experience

Tools

Claims software platforms

Job description

Integrity Marketing Group is seeking a Claims Department Manager to lead daily operations, drive performance, and ensure accurate, compliant claims processing. You’ll oversee supervisors and support functions while partnering with leadership to implement improvements and meet client and regulatory expectations.

The role emphasizes staff development, operational planning, and effective use of claims systems to deliver timely results in a fast-paced environment.