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Claims Operations Leader Jobs (NOW HIRING)

This position operates at the intersection of claims, legal, and operational execution, requiring ... Provide data-driven insights to leadership to support decision-making QUALIFICATIONS, EXPERIENCE ...

The successful candidate will work closely with Global Head of Claims Operations, Claims leadership, claims handlers, underwriting, finance, actuarial, compliance, legal, IT and external service ...

The successful candidate will work closely with Global Head of Claims Operations, Claims leadership, claims handlers, underwriting, finance, actuarial, compliance, legal, IT and external service ...

This position operates at the intersection of claims, legal, and operational execution, requiring ... Provide data-driven insights to leadership to support decision-making Qualifications, Experience ...

UST HealthProof is run by leaders with strong health plan and technology backgrounds who have ... The Claims Operations Manager I is responsible to develop and maintain metrics/reports/tools to ...

UST HealthProof is run by leaders with strong health plan and technology backgrounds who have start ... The Claims Operations Manager I is responsible to develop and maintain metrics/reports/tools to ...

UST HealthProof is run by leaders with strong health plan and technology backgrounds who have start ... The Claims Operations Manager I is responsible to develop and maintain metrics/reports/tools to ...

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Claims Operations Leader information

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$35K

$87.9K

$139K

How much do claims operations leader jobs pay per year?

As of Sep 13, 2026, the average yearly pay for claims operations leader in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What is a claims operations leader?

Claims Operations Leaders are professionals responsible for overseeing and managing the daily operations within an insurance claims department. Their duties include supervising claims processing staff, ensuring compliance with company policies and regulations, improving workflow efficiency, and maintaining customer satisfaction. They also analyze claims data to identify trends, implement process improvements, and collaborate with other departments to optimize overall claim outcomes. Strong leadership, analytical, and communication skills are essential for success in this role.

What are the main challenges a claims operations leader might face when managing a diverse team?

A Claims Operations Leader often manages teams with varied backgrounds and experience levels, which can present challenges in aligning processes and maintaining consistent performance. Common challenges include ensuring clear communication across the team, balancing workloads efficiently, and integrating new technologies or systems. To address these, leaders typically implement regular training, set clear expectations, and foster a culture of collaboration and continuous improvement. Effective leadership in this role also involves supporting team members through change and helping them adapt to evolving industry standards.

What are the key skills and qualifications needed to thrive as a claims operations leader, and why are they important?

To thrive as a Claims Operations Leader, you need expertise in claims management, insurance regulations, and process improvement, typically supported by a bachelor's degree in business, finance, or a related field. Familiarity with claims processing systems, data analytics tools, and industry-specific software such as Guidewire or ClaimCenter is highly beneficial. Strong leadership, problem-solving skills, and effective communication are essential soft skills for motivating teams and resolving complex issues. These competencies ensure efficient claims operations, regulatory compliance, and superior customer service in a dynamic insurance environment.

What is the difference between Claims Operations Leader vs Claims Supervisor?

Claims Operations LeaderClaims Supervisor
Oversees multiple claims teams, develops strategies, and manages large-scale claims processes.Manages a specific claims team, supervises daily claims handling, and ensures team performance.

While both roles focus on claims management, the Claims Operations Leader has a broader strategic and organizational scope, often overseeing multiple teams, whereas the Claims Supervisor concentrates on direct team supervision and daily operations.

What cities are hiring for Claims Operations Leader jobs?

Cities with the most Claims Operations Leader job openings:

What states have the most Claims Operations Leader jobs?

States with the most job openings for Claims Operations Leader jobs include:

What are popular job titles related to Claims Operations Leader jobs?

For Claims Operations Leader jobs, the most frequently searched job titles are:

Operations Leader

Atlanta, GA • On-site

MAG Mutual Insurance
Insurance Services • 201 - 500 employees

Full-time

Re-posted 6 days ago


Job description

MagMutual is seeking an experienced Operations Leader to drive execution, performance, and continuous improvement across critical claims and defense operations workflows. This role is responsible for overseeing end-to-end operational processes-including intake, workflow management, and vendor coordination-while ensuring service levels, quality standards, and business outcomes are consistently met.
This position operates at the intersection of claims, legal, and operational execution, requiring close coordination with internal claims teams and external law firms and vendors. The ideal candidate brings a strong operational mindset, thrives in a data-driven environment, and has experience managing complex, high-volume workflows.

SPECIFIC DUTIES:

  • Own end-to-end workflow execution, including intake, work routing, assignment, processing, and completion
  • Ensure adherence to service level agreements (SLAs), quality standards, and throughput expectations
  • Establish, monitor, and report on key operational metrics (volume, cycle time, backlog, quality)
  • Oversee operational queues and intake channels to ensure accurate routing and timely work distribution
  • Design, document, and optimize workflows using SOPs, job aids, and process maps
  • Leverage workflow and case management systems to improve efficiency and visibility
  • Manage vendor relationships, including performance monitoring, SLA adherence, and cost optimization
  • Serve as the operational point of accountability across Claims, Legal, Vendor, and Technology partners
  • Identify and resolve operational issues and lead continuous improvement initiatives
  • Analyze workload trends and staffing capacity; recommend resource allocation
  • Support onboarding, training, and development of team members
  • Provide data-driven insights to leadership to support decision-making

QUALIFICATIONS, EXPERIENCE REQUIRED:

  • Bachelor's degree required; business-related field preferred
  • 5+ years of experience in insurance operations, claims operations, or similar high-volume environments
  • 2+ years of leadership experience managing teams or workflows
  • Experience in claims operations, insurance defense operations, or law firm operational environments required
  • Experience supporting claims or legal workflows, including coordination with law firms and external vendors preferred
  • Experience working in SLA-driven environments with accountability for performance outcomes
  • Experience with workflow, case management, or document management systems
  • Experience using data/reporting tools (Qlik, Power BI, or similar)
  • Strong analytical, problem-solving, and process improvement skills
  • Proven ability to manage vendor relationships
  • Excellent communication and stakeholder management skills
  • Ability to manage multiple priorities in a fast-paced environment

Location: 

Atlanta Office