Claims Processing Manager

About the role

The Claims Processing Manager leads the regional health claims unit, acting as the operational bridge between global/regional leadership and the local processing team. This senior role drives productivity, strategic direction, and high‑quality service delivery for complex health insurance claims.

Key responsibilities

• Lead a team of claims adjusters to meet departmental KPIs and organizational goals.
• Serve as liaison between Global Management and the claims team, ensuring clear communication and alignment.
• Develop and implement departmental strategies, policies, and procedures.
• Prepare and present regular performance, metric, and trend reports to Regional Management.
• Review complex or escalated claims, provide determinations, and resolve customer complaints.
• Analyze claims data to identify trends, drive process improvements, and support strategic decisions.
• Monitor workload distribution, ensure regulatory compliance, and mentor team members.
• Participate in cross‑functional activities to coordinate service delivery and exceed client expectations.

Required profile

• Bachelor’s degree in Medical/Paramedical, Finance, Business Administration, Insurance, or a related field (preferred).
• Minimum 8 years of progressive experience in claims management, third‑party administration, or health insurance operations.
• At least 4 years in a supervisory or leadership role.

Required skills

What we offer

• Leadership role within a dynamic, agile environment.
• Opportunity to shape regional claims strategy and drive operational excellence.