Ultimate Staffing · 4 hours ago
Claims Manager
Ultimate Staffing Services is actively seeking an experienced Claims Manager for a reputable client located in El Monte, CA. The ideal candidate will demonstrate strong leadership and operational excellence within claims operations, managing the end-to-end claims lifecycle and ensuring compliance with relevant regulations.
Responsibilities
Manage the end-to-end claims lifecycle, ensuring accuracy, compliance, and timely resolution
Lead and support a high-performing claims team
Oversee reporting, KPIs, and data-driven analysis to improve departmental performance
Ensure compliance with ERISA, Medicare/Medicaid, and CMS regulations
Drive process improvements and assist with automation/efficiency initiatives
Partner with cross-functional teams including Finance, Customer Service, and Compliance
Serve as the primary point of contact for internal and external stakeholders
Qualification
Required
5+ years of experience managing claims operations (healthcare/TPA/managed care preferred)
Strong knowledge of ERISA, Medicare, Medicaid, and regulatory requirements
Proven leadership and team-building experience
Ability to analyze data, manage KPIs, and improve workflows
Preferred
Bachelor's degree preferred; additional experience considered in place of a degree
Benefits
Opportunity for temp-to-hire with long-term career potential.
Onsite work in El Monte, CA.