Manager, Claims Operations

. Manage the daily operations of the Claims business unit .

Posted 10/15/2026full-timeShelton • Connecticut • United StatesMid-LevelSenior💰 $90,000 - $120,000 per yearWebsite

Key responsibilities & impact

Manage the daily operations of the Claims business unit
Manage employees and operations at the functional level
Gather and analyze operational data and complete reports on activities and trends
Assist in strategic and tactical operational planning
Independently review problem situations, develop solutions, and implement corrective actions
Review processes and procedures to improve service turnaround time, productivity, and quality
Coordinate business-unit workflow and optimize corporate resource use and customer satisfaction
Direct risk management and quality improvement initiatives
Facilitate calibration sessions and use process studies, statistical analysis, and performance assessments to maintain quality standards
Incorporate industry best practices into quality standards, policies, programs, and system changes
Coordinate and monitor employee training and development initiatives
Project staffing requirements and guide supervisors in coaching and counseling employees
Identify and monitor business technology requirements and recommend solutions
Lead assigned initiatives and participate in companywide project initiatives
Monitor operating expenses and provide input into the annual business-unit budget
Review legal files and coordinate with counsel for depositions and court hearings
Perform other related duties as required

What you’ll need

Broad knowledge of production management concepts, operating principles, and operational management methodology applicable to claims processing
Ability to analyze and resolve complex or sensitive claims operational issues
Knowledge of federal, state, and local regulatory and industry requirements related to insurance and claims processing
Knowledge of budgeting and expense control
Knowledge of employee relations
Strong personal computer skills with Windows-based software
Experience using Microsoft Outlook or similar email software
Excellent presentation, oral, written, and interpersonal communication skills
Bachelor's Degree in Health Administration, Business, or a related field, or an equivalent combination of education and experience
6 years of job-related work experience
4 years in a leadership, senior, or supervisory capacity
Claims administration or related industry experience preferred
Insurance or other industry designations preferred

Comp & perks

Medical, dental, and vision coverage
Prescription drug coverage
Health care flexible spending account
Dependent care flexible spending account
Aflac supplemental Accident, Cancer, Critical Illness, and Hospital Indemnity policies at no cost to employees
401(k) plans
Annual bonuses
Opportunity to purchase company stock
11 paid holidays annually
Up to 20 days PTO to be used for any reason
State-mandated sick leave, if eligible
Other leaves of absence, including adoption and parental leave, if eligible