Claims Processing Manager

JoshCo Group LLC

$85K *
Business Services
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of experience in operations or production management, ideally in claims processing, insurance, finance, or healthcare.
  • Minimum of 3 years in a people management role.
  • Strong analytical, communication, and time management skills.
  • Proficiency in Microsoft Office and general computer applications.
  • Detail-oriented and adaptable in a high-pressure environment.
  • Exemplary leadership, coaching, and mentoring abilities.
  • Bachelor's degree in Business Administration, Operations Management, Finance, or related field required.

Responsibilities

  • Oversee daily operations and manage the claims flow through the pod.
  • Implement process improvements to increase efficiency and quality.
  • Monitor budgets, track costs, and optimize resource allocation.
  • Track performance metrics, prepare reports, and present findings to leadership.
  • Lead, coach, and develop team members, including hiring and performance management.
  • Ensure compliance with data security and risk management standards.
  • Collaborate with managers and cross-functional teams to achieve shared goals.

Benefits

  • Work from home flexibility based on business needs.
  • Structured Monday-Friday work hours from 8 a.m. to 5 p.m.
  • Comprehensive medical, vision, and dental plans with company contributions.
  • Generous vacation and sick leave, plus 8 paid holidays and 1 floating holiday.
  • 401k plan with company matching after 90 days of employment.
  • Opportunities for in-house training and career advancement.
Full Job Description
Step into a pivotal leadership role driving operational excellence and team success at Veteran Benefits Guide. The Claims Processing Manager serves as the primary operational expert and visionary leader for an assigned "Pod"-a cross-functional team managing the daily flow of claims. You will collaborate closely with the Lead Conversion, Case Management, Underwriting and Case Review Managers to ensure seamless workflows, optimize staff performance, and champion our organizational mission. Leadership relies on this role to act as a credible coach and mentor, making sound business judgments to consistently achieve all operational goals. What do we offer: We invest in our people, supporting their growth through mentorship and professional development. We strive to offer a work-life balance, creating a culture that is people-focused and fun. Here are some of the benefits you can expect as part of our team: • Work from home: Flexibility to work from home based on business needs and policies. • Work/life balance: We offer a Monday - Friday 8 a.m. to 5 p.m. schedule. • Benefits: Choice of Medical, Vision, and Dental plans with company premium contributions, vacation and sick time, 8 paid holidays plus a floating holiday, 401k with company match after 90 days & other ancillary benefits. • Growth and development: In-house training and on-the-job development prepare our employees for promotional advancement, leadership opportunities, and lateral transfer skill development. Essential functions: Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. • Oversee daily operations and manage the flow of claims through the pod. • Identify and implement process improvements to increase efficiency and quality. • Monitor budgets, track costs, and optimize resource allocation. • Track performance metrics, prepare reports, and present findings to leadership. • Lead, coach, and develop team members; support hiring, onboarding, and performance management. • Maintain compliance, data security, and risk management standards. • Collaborate with managers and cross-functional teams to achieve shared goals. Qualifications and Competencies: • 5-7 years of operations or production management experience, preferably in claims processing, insurance, finance, or healthcare. • At least 3 years of people management experience. • Strong analytical, communication, and time management skills. • Proficiency in Microsoft Office and general computer applications. • Detail-oriented, adaptable, and comfortable working in a high-pressure environment. • Strong leadership, coaching, and mentoring abilities. Education • Bachelor's degree in Business Administration, Operations Management, Finance, or a related field required. • MBA or other advanced degree preferred. • Certifications such as PMP, Lean Six Sigma Green/Black Belt, or Certified Manager (CM) are a plus. Supervisory Responsibilities This position has supervisory responsibilities for pod team members and any additional assigned staff. Travel: Travel to out-of-state off-site training or meetings may be required and is estimated at up to 50% within the first 90 days of employment. Salary Description $85,000.00 to $85,000.00

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