Top Operations & Support Jobs

Maintain and update provider records, research and resolve discrepancies between claims and referral systems, validate billing/rendering information for claim processing, update system logs, navigate multiple applications (mainframes, dental apps, web), coordinate with specialists, and perform assigned tasks while meeting data-entry and communication quality standards.

Lead and coach a QA team to ensure accuracy, compliance, and consistency of customer-facing email communications. Oversee quality reviews, performance management, process governance, stakeholder reporting, and continuous improvement projects to drive customer-centric outcomes.

Manage a caseload of complex medical claims: review records, assess functional ability, develop return-to-work plans, coach claim specialists, deliver medical training, and engage claimants, providers, and employers to support claims adjudication.

Manage a team to achieve claims accuracy, customer centricity, and expense targets. Coach, remove barriers, analyze data, implement improvements, support quality assurance, and drive outcomes through performance management and process enhancements.