UST · 15 hours ago
Manager, Claims Operations
United States
Full-time
Remote
Mid, Senior Level
$65K/yr - $80K/yr
7+ years expUST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. The Claims Operations Manager I is responsible for developing and maintaining metrics and reports to support various claim initiatives and personnel, as well as managing and coaching individual contributor performance and quality.
ConsultingInformation ServicesInformation Technology
Responsibilities
Assess and manage claims inventory; track and manage inventory trends and proactively adjusts resource levers as needed to maximize productivity to meet inventory management goals
Be solutions oriented; analyze data, proactively assesses business needs
Apply subject matter expertise to the business of claims processing and operations
Manage and coach individual contributor performance and quality using quantitative and qualitative data
Independently identify and resolve team issues with appropriate escalation
Train and coach staff and vendors on claims processes
Motivate and lead team members in accordance with HealthProof values and objectives
Qualification
Required
A minimum of 7 years of health insurance claims experience with progressive leadership responsibilities
An ability to independently direct the implementation of complex business projects
Working knowledge of other functions within insurance operations and shared services (benefits, enrolment, compliance, medical management, customer service etc.)
Possesses an in-depth understanding of industry issues and opportunities and is able to share gained knowledge
Effective communications: ability to obtain clear information and remove ambiguity as needed to arrive at shared expectations
Capability to approach problems as challenges and deal with them constructively; promoting this approach with all team members
Well-developed organizational habits
Experience in MS Word, Excel, PowerPoint, MS Visio
Preferred
An operating knowledge of Lean Six Sigma and or AGILE
Benefits
Full-time, regular employees accrue up to 16 days of paid vacation per year
Receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year)
10 paid holidays
Eligible for paid bereavement leave
Eligible to participate in the Company’s 401(k) Retirement Plan with employer matching
Eligible for medical, dental, and vision insurance
Basic life insurance
Accidental death and disability insurance
Short- and long-term disability benefits
May purchase additional voluntary short-term disability benefits
Participate in a Health Savings Account (HSA)
Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses
Potential for quarterly incentive-based bonuses and or commissions depending on role
Company
UST
UST is a Digital Transformations Solutions Provider.
10001+ employees
H1B Sponsorship
UST has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (870)
2024 (800)
2023 (647)
2022 (634)
2021 (612)
2020 (984)
Funding
Current Stage
Late StageTotal Funding
$250MKey Investors
Temasek Holdings
2018-06-27Private Equity· $250M
Leadership Team
Krishna Sudheendra
CEO
Alexander Varghese
Chief Administrative Officer & COO
Recent News
2026-01-17
2026-01-05
Techcircle
2025-12-31
Company data provided by crunchbase