Sr. Manager, Insurance Claims Operations

Intellivo • Creve Coeur, MO

1d • Onsite

About The Position

The Senior Manager, Insurance Claims Operations leads supervisors and more than 40 Case Specialists managing healthcare insurance recovery cases representing approximately $1 billion in financial exposure. Reporting to the Senior Director of Recovery Operations, this leader ensures cases are thoroughly investigated, accurately developed, and recovery-ready before being transitioned to attorneys. The role owns people performance, case progression, capacity, quality, productivity, and financial stewardship. Success requires developing strong teams, using data to identify performance gaps and bottlenecks, solving operational problems, and creating accountability for outcomes.

Requirements

• At least 7 years of progressive experience in healthcare claims, insurance operations, subrogation, recovery operations, healthcare revenue cycle management, or a comparable high-volume healthcare financial operation.
• At least 5 years of people leadership experience, including leadership of managers, supervisors, or team leads.
• Bachelor’s degree or equivalent relevant professional experience.
• Demonstrated success leading large, high-volume operations with measurable expectations for quality, productivity, timeliness, and outcomes.
• Experience managing staffing, capacity, workload, and large case or claims inventories.
• Strong analytical and problem-solving skills, including demonstrated ability to use operational data to improve performance.
• Proven ability to develop frontline leaders and build accountability for measurable outcomes.

Responsibilities

• Lead and develop a team of supervisors and more than 40 Case Specialists managing approximately $1 billion in financial exposure.
• Own performance across case progression, quality, productivity, timeliness, and recovery readiness.
• Set clear expectations and accountability for supervisors and Case Specialists.
• Manage staffing, capacity, workload distribution, and priorities based on case volume and business needs.
• Ensure higher-value and higher-risk cases receive appropriate attention, escalation, and financial stewardship.
• Ensure cases are fully investigated, documented, and prepared for attorney recovery.
• Establish consistent standards for what constitutes a recovery-ready case.
• Identify and resolve gaps that could delay or limit recovery.
• Improve the speed and quality of case progression and attorney handoffs.
• Partner with attorney recovery leaders so cases arrive complete, actionable, and ready for recovery, reducing downstream delays and rework.
• Monitor inventory for aging, progression, quality, financial exposure, and barriers.
• Use case value, aging, progression, and risk to prioritize inventory and direct team resources.
• Use data to identify performance gaps, bottlenecks, capacity issues, and emerging risks.
• Determine whether issues are driven by people, training, capacity, process execution, or workflow.
• Translate performance data into clear priorities and actions, and measure whether operational changes improve case progression and downstream outcomes.
• Coach and develop supervisors and Case Specialists, building supervisors into strong frontline leaders.
• Create a culture of ownership, urgency, accountability, and problem-solving.
• Set clear performance expectations and address performance gaps directly.
• Develop frontline leaders who can coach effectively, solve problems, and drive outcomes.
• Build organizational capability through effective hiring, onboarding, training, and development.

Benefits

• Comprehensive medical, dental, and vision insurance.
• 401(k) retirement savings plan with employer match.
• Paid time off and paid holidays.
• Company-paid life insurance and short-term and long-term disability coverage.
• Employee Assistance Program with counseling, financial coaching, and legal resources.
• Health Savings Account with company contributions for eligible employees.
• Wellness, healthcare advocacy, and pet benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior