At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.

This role oversees the Member Claims General Processing Teams, responsible for the day-to-day processing and adjudication of medical claims. These teams play a vital role in ensuring the accuracy, timeliness, and efficiency of claims processing for our employer-sponsored medical plans while addressing complex claims scenarios and maintaining compliance with regulatory and operational requirements.

Key responsibilities of the Member Claims General Teams include:

• Accurate and timely adjudication of medical claims.
• Conducting in-depth research and resolution of claims issues.
• Managing the intricate details of regulatory requirements, network partner relationships, and benefit application.
• Supporting seamless claims operations through efficient and effective workflows.

As the Manager of Member Claims (General Claims Teams), you will lead these essential teams, driving their performance to achieve key metrics and ensuring operational excellence. Your role will include:

• Setting team goals and fostering ...