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Health Insurance Operations Manager information

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$31K

$63.5K

$118.5K

How much do health insurance operations manager jobs pay per year?

As of Jun 18, 2026, the average yearly pay for health insurance operations manager in the United States is $63,456.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $77,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Health Insurance Operations Manager, and why are they important?

To thrive as a Health Insurance Operations Manager, you need strong knowledge of health insurance policies, regulatory compliance, and business process optimization, typically backed by a bachelor’s degree in business, healthcare administration, or a related field. Familiarity with claims management software, CRM platforms, and regulatory systems such as HIPAA is essential, and certifications like CHCS or LOMA can be advantageous. Exceptional leadership, problem-solving, and communication skills help in managing teams, resolving escalations, and ensuring smooth operations. These competencies are crucial for delivering efficient service, maintaining regulatory compliance, and driving organizational success in a complex industry.

What does a Health Insurance Operations Manager do?

A Health Insurance Operations Manager oversees the daily operations of a health insurance company or department. Their responsibilities include managing staff, ensuring compliance with regulations, optimizing processes, and improving customer service. They may also be involved in claims processing, policy administration, and implementing new technologies to streamline workflows. The role requires strong leadership, analytical skills, and a thorough understanding of health insurance policies and procedures.

What is the difference between Health Insurance Operations Manager vs Claims Supervisor?

AspectHealth Insurance Operations ManagerClaims Supervisor
CredentialsTypically requires a bachelor’s degree in healthcare administration, business, or related field; certifications like CPC or CHCO are commonUsually holds a bachelor’s degree; certifications such as CPC or claims-specific training are beneficial
Work EnvironmentOversees multiple departments, manages staff, and develops policies within health insurance companiesManages claims processing teams, reviews claims, and ensures compliance within insurance companies
Employer & Industry UsageCommonly employed in health insurance companies, healthcare providers, and third-party administratorsPrimarily found in insurance companies, focusing on claims processing and customer service

The main difference is that the Health Insurance Operations Manager oversees broader operational functions across departments, while the Claims Supervisor focuses specifically on managing claims processing teams. Both roles require similar credentials and work within the health insurance industry, but their scope and responsibilities differ.

What are some of the main challenges Health Insurance Operations Managers face in balancing regulatory compliance and operational efficiency?

Health Insurance Operations Managers often navigate the complex balance between ensuring strict adherence to evolving healthcare regulations and maintaining streamlined, efficient workflows. This can include updating processes to comply with federal and state mandates, managing audits, and training staff on new policies without disrupting daily operations. Successful managers stay proactive by fostering open communication within their teams and collaborating closely with compliance and IT departments to implement changes smoothly. Adapting quickly to regulatory shifts while minimizing operational disruptions is a key challenge in this role.
Branch Operations Manager - Commercial Lines

Branch Operations Manager - Commercial Lines

Insurance Office of America

Mira Loma, CA

$95K - $125K/yr

Full-time

Medical, Retirement

Posted 22 days ago

Insurance Office Of America rating

8.6

Company rating: 8.6 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

73rd of 261 rated insurance

Job description

Description

Job Description:

Title: Branch Operations Manager - Commercial Lines 

Hybrid: 1 day in office at either the Aliso Viejo, Glendale, Ontario, San Diego or Santa Barbara office locations

Supporting: IOA - Orange County | Book Focus: Construction  | Requirement: active P&C license
Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Additionally, our remote work policy includes having a dedicated, distraction-free workspace. Remote work is not a substitute for childcare, elder care, or other personal responsibilities during working hours. To view our branch locations, please visit: ioausa.com/locations 

 
About the Role: Responsible for leadership of all IOA insurance operations management activities within the assigned branch. This includes managing operations team performance, strategic and tactical plan implementation, budgeting, goal setting, reporting, staff professional development, policy and procedure implementation, human resource management, quality assurance, productivity, and customer service management. Additionally, responsible for participating in producer/agency acquisition and integration, and personally serving as Account Manager for an assigned book of business. 

 
Key Responsibilities: 

  • Team Leadership: Direct daily activities and workflow of the branch team. 

  • Strategic Implementation: Drive annual strategic and tactical plans. 

  • Financial Management: Manage branch P&L, control costs, and achieve financial goals. 

  • Budget Management: Understand and manage the annual budget. 

  • Vision Communication: Communicate leadership vision/mission for the branch. 

  • Team Building: Build and manage a qualified operations team. 

  • Recruitment and Onboarding: Participate in recruitment and evaluate merger/acquisition opportunities. 

  • Personnel Management: Recommend staff actions, including acquisition and succession planning. 

  • HR Management: Ensure compliance with HR processes and policies. 

  • Performance Standards: Establish and monitor productivity, efficiency, quality, and service standards. 

  • Professional Development: Encourage growth and development of personnel. 

  • Succession Planning: Develop future branch operations leaders. 

  • Culture Promotion: Promote IOA culture and improve engagement. 

  • Performance Monitoring: Identify gaps and implement corrective actions. 

  • Data Analysis: Monitor and interpret performance data. 

  • Communication: Maintain communication with Regional Director of Operations and sales leadership. 

  • Collaboration: Resolve operational issues with Branch 1099 sales personnel. 

  • Account Management: Spend up to 50% of time managing an assigned book of business. 

  • Process Improvement: Develop and ensure compliance with core work processes. 

  • Policy Enforcement: Implement and enforce company policies. 

  • Technical Competence: Maintain high technical competence and industry expertise. 

  • Leadership Development: Continuously improve management and leadership skills. 

  • Relationship Building: Develop and maintain positive relationships with IOA leadership and employees. 

  • Champion IOA Values: Demonstrate integrity and leadership. 

 
Ideal Candidate Qualifications: 

  • 5+ years of industry experience with deep, wide-ranging industry knowledge 

  • 2+ years of management experience 

  • All required active property & casualty licensing 

  • Exceptional Account Management skills, spending 50% of time managing a book of business 

  • Outstanding communication, people management, and negotiation skills 

  • Proficiency in MS Office (Outlook, Word, Excel) 

  • High School Diploma (or equivalent) 

 
What We Offer: 

  • Competitive salaries and bonus potential 

  • Company-paid health insurance 

  • Paid holidays, vacations, and sick time 

  • 401K with employer match 

  • Professional growth and career progression opportunities 

  • Respectful culture and work/family life balance 

  • Community service commitment 

  • Supportive teammates and a rewarding work environment 

 
What to Expect (Application Process): 

  • 30-Minute Phone Screen, Online Assessments, and Interview(s) 

Salary Range

The expected pay range for this position is $95,000.00 to $125,000.00 per year, depending on experience, relevant skills, and geographic location.

Insurance Office of America is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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