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Manager, Complex Claims - Remote

Posted 5 days ago
All others
Full Time
USA
$92,880 - $116,100/year

Overview

The Manager, Complex Claims leads a team tasked with tactical and strategic initiatives aimed at improving complex claim outcomes across key performance metrics.

In Short

  • Lead a team focused on complex claims management.
  • Provide leadership and structure to improve claim outcomes.
  • Report to the Associate Director, Claims Production.
  • Work in a blended office/remote culture.
  • Manage a complex portfolio of initiatives.
  • Develop team workflows and guidelines.
  • Conduct analysis and reporting on claims trends.
  • Ensure compliance with laws and regulations.
  • Train and mentor team members.
  • Qualifications include a bachelor’s degree or equivalent experience.

Requirements

  • Bachelor’s degree or 4+ years of relevant experience.
  • 4+ years of leadership experience in a claims environment.
  • 4+ years of experience analyzing data for claims.
  • 2+ years of experience in workflow design and improvement.

Benefits

  • Eligible for employee benefits.
  • Participation in unlimited vacation program.
  • Annual performance bonuses.

O.H

Oscar Health

Oscar Health is a pioneering health insurance company founded in 2012, designed around a comprehensive technology platform with a strong emphasis on member service. The company aims to create a health insurance experience that feels personal and supportive, akin to having a family doctor. Oscar Health is committed to innovation in healthcare, fostering a culture that values diversity and inclusion, and ensuring compliance with health insurance regulations. With a flexible work environment, Oscar offers opportunities for remote work while maintaining a connection to its mission and team.

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