Support Director of Claims Operations and Manager of System Configuration during implementation of new claims system * Provider Data Management and related downstream processes * Manages System ...
Support Director of Claims Operations and Manager of System Configuration during implementation of new claims system * Provider Data Management and related downstream processes * Manages System ...
Property & Casualty Insurance Claims Operations Consultant, Manager
Columbus, OH · On-site
$99K - $232K/yr
... Claims Operations Consultant, Manager, you will play a pivotal role in helping clients optimize ... At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship ...
Property & Casualty Insurance Claims Operations Consultant, Manager
Columbus, OH · On-site
$99K - $232K/yr
... Claims Operations Consultant, Manager, you will play a pivotal role in helping clients optimize ... At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship ...
... operations. Part of AXIS Global Claims Shared Services, the Global Head of Claims Management ... direct reports to support deliverables, in London, UK and North America (which includes Bermuda)
... operations. Part of AXIS Global Claims Shared Services, the Global Head of Claims Management ... direct reports to support deliverables, in London, UK and North America (which includes Bermuda)
Liability Claims Manager
Van Wert, OH · On-site
Direct coverage analysis on business auto and commercial general liability policies, including ... Financial and Operational Accountability * Monitor indemnity and expense spend across the unit ...
Liability Claims Manager
Van Wert, OH · On-site
Direct coverage analysis on business auto and commercial general liability policies, including ... Financial and Operational Accountability * Monitor indemnity and expense spend across the unit ...
The Director of Security Operations drives risk mitigation initiatives, loss prevention programs ... Drive loss prevention initiatives designed to reduce incidents, financial losses, claims, and ...
The Director of Security Operations drives risk mitigation initiatives, loss prevention programs ... Drive loss prevention initiatives designed to reduce incidents, financial losses, claims, and ...
The Director of Security Operations drives risk mitigation initiatives, loss prevention programs ... Drive loss prevention initiatives designed to reduce incidents, financial losses, claims, and ...
The Director of Security Operations drives risk mitigation initiatives, loss prevention programs ... Drive loss prevention initiatives designed to reduce incidents, financial losses, claims, and ...
DIRECTOR, GLOBAL OPERATIONS GOVERNANCE
Westerville, OH · On-site
$120 - $160/hr
The Director, Global Operations Governance is a senior leadership role responsible for establishing ... Drive governance mechanisms to improve Customer service levels and reduce customer claims toward ...
DIRECTOR, GLOBAL OPERATIONS GOVERNANCE
Westerville, OH · On-site
$120 - $160/hr
The Director, Global Operations Governance is a senior leadership role responsible for establishing ... Drive governance mechanisms to improve Customer service levels and reduce customer claims toward ...
The Director, Global Operations Governance is a senior leadership role responsible for establishing ... Drive governance mechanisms to improve Customer service levels and reduce customer claims toward ...
The Director, Global Operations Governance is a senior leadership role responsible for establishing ... Drive governance mechanisms to improve Customer service levels and reduce customer claims toward ...
The Director, Global Operations Governance is a senior leadership role responsible for establishing ... Drive governance mechanisms to improve Customer service levels and reduce customer claims toward ...
The Director, Global Operations Governance is a senior leadership role responsible for establishing ... Drive governance mechanisms to improve Customer service levels and reduce customer claims toward ...
... operational performance. The Supervisor serves as a trusted resource for adjusters, leadership, and ... Direct handling of designated litigated and complex claims. * Provide education, training and ...
New
... operational performance. The Supervisor serves as a trusted resource for adjusters, leadership, and ... Direct handling of designated litigated and complex claims. * Provide education, training and ...
New
Operations Supervisor
Columbus, OH · On-site
$65K - $85K/yr
Plan, direct and control freight operations in line with our intent of always servicing the ... Pickup and Delivery operations, dock operations, linehaul cut-times, claims prevention ...
Operations Supervisor
Columbus, OH · On-site
$65K - $85K/yr
Plan, direct and control freight operations in line with our intent of always servicing the ... Pickup and Delivery operations, dock operations, linehaul cut-times, claims prevention ...
Mgr Operations
Dublin, OH · On-site
$71K - $85K/yr
Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
New
Mgr Operations
Dublin, OH · On-site
$71K - $85K/yr
Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
New
Mgr Operations
$71K - $85K/yr
Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
New
Mgr Operations
$71K - $85K/yr
Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
New
... claims specialists. This team is vital to the continued operation of the entire Department as it serves to assign the codes necessary for the billing of the outpatient visit. Sets daily priorities ...
... claims specialists. This team is vital to the continued operation of the entire Department as it serves to assign the codes necessary for the billing of the outpatient visit. Sets daily priorities ...
Operations Manager
New Albany, OH · On-site
Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
Operations Manager
New Albany, OH · On-site
Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
Operations Manager
New Albany, OH · On-site
Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
Operations Manager
New Albany, OH · On-site
Has direct responsibility for less than 25 colleagues. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... Ensures claims management policies and procedures are followed to assure meeting service standards ...
Claim Clerk
Dublin, OH · On-site
... directed by claims staff * Assist with reception coverage and front-office responsibilities when needed * Support claim teams in meeting client service commitments and operational goals * Maintain ...
Claim Clerk
Dublin, OH · On-site
... directed by claims staff * Assist with reception coverage and front-office responsibilities when needed * Support claim teams in meeting client service commitments and operational goals * Maintain ...
Claim Clerk
Dublin, OH · On-site
... directed by claims staff * Assist with reception coverage and front-office responsibilities when needed * Support claim teams in meeting client service commitments and operational goals * Maintain ...
Claim Clerk
Dublin, OH · On-site
... directed by claims staff * Assist with reception coverage and front-office responsibilities when needed * Support claim teams in meeting client service commitments and operational goals * Maintain ...
... directed by claims staff * Assist with reception coverage and front-office responsibilities when needed * Support claim teams in meeting client service commitments and operational goals * Maintain ...
... directed by claims staff * Assist with reception coverage and front-office responsibilities when needed * Support claim teams in meeting client service commitments and operational goals * Maintain ...
Director Claims Operations information
See salary details
$34K - $47.2K
4% of jobs
$47.2K - $60.5K
8% of jobs
$60.5K - $73.7K
11% of jobs
$75.8K is the 25th percentile. Wages below this are outliers.
$73.7K - $86.9K
12% of jobs
$86.9K - $100.1K
14% of jobs
The median wage is $101.9K / yr.
$100.1K - $113.4K
12% of jobs
$113.4K - $126.6K
13% of jobs
$129.9K is the 75th percentile. Wages above this are outliers.
$126.6K - $139.8K
9% of jobs
$139.8K - $153K
9% of jobs
$153K - $166.3K
5% of jobs
$166.3K - $179.5K
3% of jobs
$34K
$107.7K
$179.5K
How much do director claims operations jobs pay per year?
As of Aug 23, 2026, the average yearly pay for director claims operations in the United States is $107,680.00, according to ZipRecruiter salary data. Most workers in this role earn between $75,500.00 and $135,500.00 per year, depending on experience, location, and employer.
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Part-time
Medical, Dental, Vision
Re-posted 14 days ago
Mount Carmel Health System rating
7.9
Based on 18 frontline employees who took The Breakroom Quiz
Job description
Employment Type:Part timeShift:Day Shift
Description:Support Director of Claims Operations and Manager of System Configuration during implementation of new claims system
- Provider Data Management and related downstream processes
- Manages System Configuration functional area purchases and ensures the proper processing of all invoices related to assigned activities.
- Lead the definition, documentation, implementation and continuous improvement of claims adjudication system management policies, standards and processes.
- Supports Claims Audit leadership with the analysis of claims processing metrics to ensure optimal performance.
- Ensures compliance with all regulatory requirements impacting Support Services by collaborating with the Compliance Department and other key functional stakeholders within the organization responsible for execution of policies, standards and processes.
- Establish partnerships and works closely with key operational and clinical staff to ensure claims system configuration accuracy; develop plans to address any potential system inaccuracies or configuration errors.
- Investigate and recommend implementation of tools, techniques and processes with potential to improve management of system configuration.
- Participate in compliance audits and remediate issues identified as required.
- Provide Subject Matter Expertise throughout the implementation of the new claims system, HealthEdge Healthrules Payor (HRP)
- Support Director, Claims Operations and Configuration with daily activities and escalation requests throughout the HRP implementation thus enabling Director to commit more resources to the HRP implementation.
- Support Manager, System Configuration with daily activities and escalation requests throughout the HRP implementation thus enabling Director to commit more resources to the HRP implementation.
- Education: Bachelor of Science degree in health care, business administration, or related field preferred. In lieu of a bachelor’s degree an combination of college course work and 7+ years of experience in managed care or a health plan organization demonstrating ascending roles of responsibility will be considered.
- Advanced knowledge of health plan medical benefits, provider reimbursement methodologies, medical, dental and vision terminology, advanced knowledge of claim adjudication and benefit plan application for Medicare Advantage plans.
- Advanced knowledge of CPT, ICD-9, ICD-10 and HCPS coding systems.
- Uses standard office equipment and must be able to operate a motor vehicle and possess a valid driver's license.
- Participates in all project related reporting and communication to the steering committee and other stakeholders.
- Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.
- Clearly articulates assignments and direction
- Foster teamwork
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
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