Remote Claims Operations Leader

Allied Benefit Systems; Chicago (IL); Remote; USD 110,000 - 145,000; Full time

Benefits offered by this job

Remote-friendly culture

Competitive benefits package

Job summary

Allied Benefit Systems is seeking a Manager, Claims Operations to oversee the Claims Appeals, Medical Review and Subrogation teams. This role focuses on driving performance, governance and process improvements across the claims function.

You will mentor staff, analyze operational metrics, and partner with leadership to implement enterprise initiatives while supporting a flexible remote work environment.

Qualifications

• 5+ years of TPA or group health insurance experience with at least 3 years in a supervisory role.
• Deep knowledge of Claims, Benefits and administrative processes.
• Proficient with MS Office programs (Word, Excel, Access, PowerPoint).

Responsibilities

• Manage day-to-day operations of Claims Appeals, Claims Medical Review and Subrogation teams.
• Monitor metrics and ensure productivity and quality goals across the teams.
• Provide leadership, coaching and development opportunities for staff.
• Prepare reporting and analysis for leadership and defined standards.
• Collaborate with other Claims and business leaders on enterprise initiatives.
• Lead performance reviews and talent management activities.

Skills

Leadership

Coaching and Feedback

Collaboration

Decision Making

Execution Management

People Leadership

Accountability

Customer Focus

Education

Bachelor's degree or equivalent work experience

Tools

Microsoft Office

Job description

Allied Benefit Systems is seeking a Manager, Claims Operations to oversee the Claims Appeals, Medical Review and Subrogation teams. This role focuses on driving performance, governance and process improvements across the claims function.

You will mentor staff, analyze operational metrics, and partner with leadership to implement enterprise initiatives while supporting a flexible remote work environment.