Workforce Absence Operations Manager

Jobtailor; California (MO); On-site; USD 90,000 - 140,000; Full time

Benefits offered by this job

Professional development opportunities

Job summary

Jobtailor is seeking a Senior Claims and Operations Manager to oversee technical and operational functions, ensuring consistent delivery of high‑quality services across assigned centers. You will manage staffing, training, and performance while coordinating budget development and profit and loss oversight.

With 8+ years in claims management and 2+ years supervising teams, you will lead a team of fewer than 25 colleagues, drive quality reviews, and ensure compliance with client controls and audit

Qualifications

• Eight years of claims management experience or equivalent mix of education and experience.
• Two years of supervisory experience.
• Excellent oral and written communication and presentation skills.
• PC literate with proficiency in Microsoft Office products.

Responsibilities

• Oversee technical and operational functions, including compliance with company standards and industry best practices.
• Ensure consistent delivery of quality services.
• Oversee staffing and training needs.
• Oversee budget preparation and profit and loss management.
• Directly manage fewer than 25 colleagues.
• Oversee the internal quality review process and report monthly.
• Assure compliance with client internal controls, audit requirements, and service agreement requirements.
• Establish business plans with goals and objectives for assigned clients.
• Ensure claims management policies and procedures meet service standards, state statutes/regulations, disability plan documents, industry best practices, and client service requirements.
• Establish and maintain client contacts.
• Perform other duties as assigned.
• Support the organization's quality programs.
• Travel as required.
• Administer company personnel policies and follow staffing standards and training recommendations.
• Interview, hire, and establish colleague performance development plans.
• Conduct colleague performance discussions.
• Provide support, guidance, leadership, and motivation to promote maximum performance.

Skills

Leadership

Analytical skills

Communication skills

Team collaboration

Negotiation skills

Organizational skills

Education

Bachelor's degree

Tools

Microsoft Office

Job description

• Oversee technical and operational functions, including compliance with company standards and industry best practices


• Ensure consistent delivery of quality services


• Oversee staffing and training needs


• Oversee budget preparation and profit and loss management


• Directly manage fewer than 25 colleagues


• Oversee the internal quality review process and report monthly


• Assure compliance with client internal controls, audit requirements, and service agreement requirements


• Establish business plans with goals and objectives for assigned clients


• Ensure claims management policies and procedures meet service standards, state statutes/regulations, disability plan documents, industry best practices, and client service requirements


• Establish and maintain client contacts


• Perform other duties as assigned


• Support the organization's quality programs


• Travel as required


• Administer company personnel policies and follow staffing standards and training recommendations


• Interview, hire, and establish colleague performance development plans


• Conduct colleague performance discussions


• Provide support, guidance, leadership, and motivation to promote maximum performance

Requirements

• Bachelor's degree from an accredited college or university preferred


• Licenses as required


• Professional certifications appropriate to line of business preferred


• Eight (8) years claims management experience or equivalent combination of education and experience required


• Two (2) years supervisory experience


• Excellent oral and written communication, including presentation skills


• PC literate, including Microsoft Office products


• Leadership/management/motivational skills


• Analytical and interpretive skills


• Strong organizational skills


• Excellent interpersonal skills


• Excellent negotiation skills


• Ability to work in a team environment


• Ability to meet or exceed Performance Competencies


• All candidates must live near one of the listed centers of excellence

Core Competencies

Demonstrates extensive experience in claims management, compliance with industry standards, and effective leadership in team performance and development. Proficient in budget management, quality assurance, and client relationship management.

Highest-signal resume keywords

• Claims Management Experience


• Supervisory Experience


• Leadership Skills


• Analytical Skills


• Microsoft Office Proficiency

ATS Optimization Keywords

Hard Skills

• Claims Management


• Budget Preparation


• Quality Assurance


• Performance Development Plans


• Compliance Management


• Internal Controls


• Audit Requirements


• Service Agreement Compliance


• Training Needs Assessment


• Client Service Requirements

Soft Skills

• Excellent Communication Skills


• Interpersonal Skills


• Negotiation Skills


• Organizational Skills


• Team Collaboration

Certifications & Qualifications

• Professional Certifications

Industry Keywords

• Compliance


• Industry Best Practices


• Disability Plan Documents


• Performance Competencies


• Colleague Performance Discussions