Claims Operations Manager Job at Engage Cleveland (Richfield)

Assistant Delivery Manager – Operations (Payers Services – Claims)

We are seeking a dynamic and experienced leader to oversee our Payer Services op...

Location

India , Chennai

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Excellent communication and people skills
Available to work at office in US Shift (06:00 PM to 03:00 AM IST)
Strong project management and client coordination skills
Minimum 11 years of work experience
Proven experience in a leadership role within Payer Services or a related field

Job Responsibility

Establish productivity standards for all Payer Services operations
Collaborate with senior leaders to develop a robust quality control system for the Accounts Receivable process
Propose continuous process improvements to enhance value and manage Payer Services effectively
Participate in the transition of new projects, engage with clients, and ensure the team meets business requirements
Oversee project progress and participate in client meetings
Facilitate and monitor quality standards for executives
Ensure a seamless transition for all new clients within Payer Services functions
Address operational and staffing issues promptly and effectively

Claims Manager

Our client is seeking a highly skilled and experienced Claims Manager to join th...

Location

Oman , Muscat

Salary:

105000.00 - 110000.00 GBP / Year

Jameson Legal

Expiration Date

Until further notice

Requirements

At least eight years’ experience in claims management within the oil and gas sector
In-depth knowledge of relevant regulations and industry standards
Excellent communication and negotiation skills
Experience of mentoring, coaching and training less experienced staff

Job Responsibility

Reviewing and assessing all claims that are related to the company’s operations
Collaborating with the legal, project and operating teams to resolve claims in a timely manner
Ensuring compliance with all contractual obligations
Preparing reports and documentation related to claims management
Identifying areas for process improvement and implementing change where necessary

What we offer

Bonus
Tax free salary
Excellent standard of living
Opportunity to live in Muscat
Excellent international schools
Wide range of outdoor activities
Thriving ex-patriate community
Beautiful scenery

Fulltime

Operations Manager

Lawes Consulting Group are partnering with an expanding insurance broker who is ...

Location

United Kingdom , South Yorkshire

Salary:

45000.00 - 55000.00 GBP / Year

Lawes Consulting Group

Expiration Date

Until further notice

Requirements

Proven experience as an Operations Manager, preferably within an insurance brokerage environment
Strong knowledge of insurance brokerage operations, including compliance, underwriting, and claims processes
In-depth understanding of regulatory requirements and industry standards
Proficiency in using the Acturis trading platform
Excellent communication and interpersonal skills
Relevant insurance qualifications are desirable but not essential

Job Responsibility

Oversee and manage the daily operations of the insurance brokerage, ensuring efficiency and effectiveness
Lead, mentor, and develop a team of operations staff, fostering a culture of collaboration and excellence
Develop and implement operational policies, procedures, and best practices to improve productivity and service delivery
Monitor and ensure compliance with regulatory requirements and industry standards
Collaborate with senior management to align operational strategies with business goals
Manage relationships with insurers, underwriters, and other third-party providers
Analyse operational performance metrics and implement improvements to drive results
Oversee the implementation and maintenance of brokerage software and systems
Handle escalated client issues and ensure timely resolution
Support business growth initiatives by optimizing operational processes and resources

Fulltime

Facility Operations Manager

U.S. Facilities, Inc., a premier provider of top-notch building maintenance and ...

Location

United States

Salary:

Not provided

PRWT Services, Inc.

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Facilities Management, Engineering, Project Management, or Business Administration is preferred, or the candidate should have the equivalent of 15+ years of experience as a Facilities Project Manager
Professional Engineer (PE) license preferred
Minimum of 7-10 years of Facility Management experience with at least 5 years at the level of Site Manager
Experience working with K-12 school districts or public sector clients, ideally in a leadership or consultative capacity
Proven ability to navigate local politics, community engagement processes, and school board relations
Knowledge of state and federal funding mechanisms related to educational facilities (e.g., ESSER funds, bonds, state capital programs)
Strong public speaking and presentation skills for representing the company at community forums and board meetings
Five plus years of experience managing union employees
Experience in construction, engineering, and all facets of facility operation and building management
Experience with critical system environments required

Job Responsibility

Ensure the day-to-day operations of a high-profile high-rise building, ensuring that all building operations and maintenance services are effectively delivered, and facility needs are met, including preventive maintenance, life-safety, engineering, and general maintenance
Ensure that staff implement and provide these services in a manner consistent with USF policies and ownership directives
Supervise all maintenance programs relating to the interior and exterior conditions and appearance of the property
Respond positively and promptly to requests from building tenants and occupants
Oversee the implementation of ongoing contract programs to assess tenant and occupant needs constantly and to ensure problems are being solved promptly to the mutual benefit of the tenant, client, and the properties in accordance with contract scope and Service Level Agreements (SLA’s)
Ensure that all site-specific documentation and reports are completed accurately and on time
Prepare, review, and provide initial approval for all budgets, financial reports (monthly and quarterly), expenditures, and purchase orders related to the facility or complex as needed
Collect, analyze, and report statistical data as needed to provide an accurate and current assessment of facility management objectives
Manage all contractor relationships, including negotiating pricing and contract terms, managing agreements, developing service specifications, ensuring client compliance, verifying contractor compliance, and replacing contractors as necessary
Hire, train, and motivate operations and maintenance personnel

Fulltime

Operations Manager

Corporate Tools in Post Falls, Idaho is searching for an Operations Manager for ...

Location

United States , Post Falls

Salary:

80000.00 - 100000.00 USD / Year

Corporate Tools

Expiration Date

Until further notice

Requirements

5+ years of experience as a leader managing large teams in service delivery environment
3+ years of managing a delivery team in the Domain Name industry
Professional experience in the domain name industry with a solid understanding of domain registration, transfer, renewal, and management processes
Proficiency in domain management software and systems, including registration platforms, DNS management tools, and WHOIS databases
Understanding and experience in Domain Registry and Registrar functions
Strong understanding of ICANN policies and regulations related to domain registration and management
Solid grasp of technical aspects related to domain infrastructure
Experience in coordinating with legal teams to handle domain disputes, trademark infringement claims, and other legal matters related to domain names
Experience working with low to high volume accounts

Job Responsibility

Develop and implement strategies to drive client success and retention
Communicate with Domain Registries for day to day solutions
Oversee and manage the client success team, providing guidance, support, and training as needed
Monitor client satisfaction levels and proactively address any issues or concerns that may arise
Analyze customer data and feedback to identify trends and insights, using this information to improve client success processes
Work with the product development team to advocate for client needs and contribute to product enhancements and updates
Act as a point of escalation for client issues, resolving conflicts and ensuring a high level of customer service
Collaborate with other departments to ensure seamless client communication and a cohesive client experience
Stay updated on industry trends and best practices in client success and incorporate them into the organization's operations
Identify opportunities for process improvements to streamline client success in all facets

What we offer

100% employer-paid medical, dental and vision for employees
Annual review with raise option
22 days Paid Time Off accrued annually, and 4 holidays
After 3 years, PTO increases to 29 days. Employees transition to flexible time off after 5 years with the company—not accrued, not capped, take time off when you want
The 4 holidays are: New Year’s Day, Fourth of July, Thanksgiving, and Christmas Day
Paid Parental Leave
Up to 6% company matching 401(k) with no vesting period
Quarterly allowance
Use to make your remote work set up more comfortable, for continuing education classes, a plant for your desk, coffee for your coworker, a massage for yourself... really, whatever
Open concept office with friendly coworkers

Fulltime

Claims Account Manager

We’re collaborating with a respected insurance company to fill an essential role...

Location

United Kingdom , Glasgow

Salary:

45000.00 - 52000.00 GBP / Year

Lawes Consulting Group

Expiration Date

Until further notice

Requirements

Support and management of important customer relationships and partners (ideally in the insurance environment.)
In-depth knowledge of UK Personal Lines Home & Contents and Accident & Health Travel Insurance products.
Management of repair and restoration within the supply chain.
Experience in navigating multiple reporting lines is an advantage.
Fluent English.
Good MS Outlook, MS Excel, MS PowerPoint, MS Word, MS and Data reporting suites, such as Qlik Sense or Power BI.
A recognised degree or equivalent academic qualification or an equivalent insurance industry certification.

Job Responsibility

Oversee claims activities with outsourced partners, ensuring company standards and best practices through regular reporting and meetings.
Develop and implement frameworks to manage the outsourced supply chain, aligning with business goals and customer outcomes.
Monitor the commercial performance of outsourced partners, identifying and driving improvements through data analysis and execution best practices.
Present performance updates internally and externally, clearly highlighting status, issues, and action plans.
Execute third-party administrator audits to strengthen the outsourcing control environment.
Ensure governance frameworks are in place, with clear policies, processes, and procedures embedded throughout operations.
Collaborate with the Complaints team to manage outsourced complaints activities.
Oversee systems supporting outsourced operations, addressing defects, identifying improvements, and supporting business testing as needed.

Fulltime

Legal Operations Manager

The Senior Corporate Paralegal and Legal Operations Manager will work closely wi...

Location

United States , Englewood

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor’s degree, with a paralegal certification preferred
7 plus years of proven experience in legal operations, contract administration, corporate governance, or similar fields
Strong attention to detail
Ability to work independently and in a team, in a fast-paced environment, while prioritizing competing projects
Proficiency with legal document management systems, Lexis/Westlaw and Microsoft Office Suite
Proficiency in Calendar Management and Client Relations
Excellent Communication skills, both verbal and written
Experience in Corporate Paralegal roles
Familiarity with all aspects of Corporate Law, including Mergers & Acquisitions (M&A), Due Diligence, Corporate & Commercial, Corporate Audit, Corporate Entities, and Corporate Development
Deep understanding of Corporate Governance and Corporate Legal practices

Job Responsibility

Work closely with the General Counsel to address corporate governance matters, including maintaining Board minutes and stock records
Legal entity management, including company formations, foreign qualifications, and annual filings
Assist with creating and maintaining company-wide policies and templates of routine documents and agreements, and assist with corresponding training initiatives
Review and comment on contracts, including master services agreements, consulting agreements, work orders, contract amendments, non-disclosure agreements, and vendor contracts
Manage tracking of key contracts and related terms, including non-standard contract provisions for easy access
Oversee contract lifecycle management system, developing, populating, and managing the legal contract database
Perform due diligence for M&A transactions with team of functional leaders
Manage claims process and litigation tracking, including related document management
Maintain company permits, including general contractor and environmental permits
Assist with researching legal topics on an as-needed basis, including employment matters.

What we offer

Competitive pay
Bonus
Excellent benefits
Medical, vision, dental, and life and disability insurance
401(k) plan enrollment.

Fulltime

Claims Management Tracking Officer

Claims Management – Tracking Officer is responsible for tracking all Direct Clai...

Location

Egypt , Cairo

Salary:

Not provided

Allianz

Expiration Date

Until further notice

Requirements

Bachelor’s Degree
from 0 to 2 years management experience within Healthcare Industry (TPA, Insurance Companies, Hospitals, Medical Centers or Pharmacies)
physically fit to carry out duties
legally permitted to work in the country of operations
fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.

Job Responsibility

Checks claim submission for proper completion
ensures that standard format for submission is followed such as general statement of account and detailed statement of account
adheres to initial check of received physical claims count VS the listed in the statement
ensures feedback within set specified time for any corrections, missing information, and any standard format not being followed
batching the received claims as per our standards and hand over physical claims to Retrospective team
ensures proper documentation, feedback, and endorsement on claims
communicates directly with providers for missing information and reports cases where necessary
returns claims with incomplete administrative information to the provider
directs providers not created on TATSH to MPM team for creation.

What we offer

Personal and professional development with a large variety of courses and targeted development programs
global environment encouraging international mobility and career progression
Work Well programs focused on health and wellbeing
flexibility in planning for a better work-life balance
equal opportunity employer with a focus on inclusivity and diversity.

Fulltime

Claims Operations Manager

Engage Cleveland

Location:
United States , Richfield

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
April 05, 2026

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