Operations manager, health and dental claims

Operations Manager, Health & Dental Claims

The Operations Manager, Health & Dental Claims is responsible for leading medium-sized operations teams through supervisors and/or professional staff. This role ensures the accurate, compliant, and customer-focused adjudication of Group Benefits Health & Dental claims.

Position Responsibilities

• Translate business priorities into team plans, workflows, and resource allocation.
• Provide full supervisory leadership, including performance management, coaching, talent development, and workforce planning.
• Cultivate a culture of high performance, accountability, inclusion, and continuous improvement.
• Mentor emerging leaders and create bench strength.
• Identify opportunities to improve claims processes, workflow efficiency, and customer experience.
• Ensure adherence to claims policies, regulatory requirements, audit standards, and risk controls.
• Sponsor op...