Sr. Manager, Insurance Claims Operations

Job Description

Job Description

Sr. Manager, Insurance Claims Operations

Intellivo | St. Louis, MO | Full-Time, On-Site

Compensation: $110-130K + bonus
This is an on-site position in our St. Louis office.

Position Summary

The Senior Manager, Insurance Claims Operations  leads a team of supervisors and 40+ Case Specialists managing healthcare insurance recovery cases representing approximately $1 billion in financial exposure .

Reporting to the Senior Director of Recovery Operations, this leader is responsible for ensuring cases are thoroughly investigated, accurately developed, and recovery-ready before being transitioned to attorneys for recovery.

This role owns people performance, case progression, capacity, quality, productivity, and financial stewardship. Success requires a leader who can develop strong teams, use data to identify performance gaps and bottlenecks, solve operational problems, and create accountability for outcomes, not simply activity.

What You’ll Do

Lead the Operation

• Lead and develop a team of supervisors and 40+ Case Specialists managing approximately $1B in financial exposure
• Own performance across case progression, quality, productivity, timeliness, and recovery readiness
• Set clear expectations and accountability for supervisors and Case Specialists
• Manage staffing, capacity, workload distribution, and priorities based on case volume and business needs
• Ensure higher-value and higher-risk cases receive appropriate attention, escalation, and financial stewardship

Drive Efficient Recovery Readiness

• Ensure cases are fully investigated, documented, and prepared for attorney recovery
• Establish clear and consistent standards for what constitutes a recovery-ready case
• Identify and resolve gaps that could delay or limit recovery
• Improve the speed and quality of case progression and attorney handoffs
• Partner closely with attorney recovery leaders to ensure cases arrive complete, actionable, and ready for recovery, reducing downstream delays and rework

Use Data to Improve Results

• Monitor inventory for aging, progression, quality, financial exposure, and barriers
• Use case value, aging, progression, and risk to prioritize inventory and direct team resources
• Use data to identify performance gaps, bottlenecks, capacity issues, and emerging risks
• Determine whether issues are driven by people, training, capacity, process execution, or workflow
• Translate performance data into clear priorities and actions
• Measure whether operational changes improve case progression and downstream outcomes

Build High-Performing Teams

• Coach and develop supervisors and Case Specialists, building supervisors into strong frontline leaders
• Create a culture of ownership, urgency, accountability, and problem-solving
• Set clear performance expectations and address performance gaps directly
• Develop frontline leaders who can coach effectively, solve problems, and drive outcomes
• Build organizational capability through effective hiring, onboarding, training, and development

Qualifications

• REQUIRED: 7+ years of progressive experience in healthcare claims, insurance operations, subrogation, recovery operations, healthcare revenue cycle management, or a comparable high-volume healthcare financial operation
• REQUIRED: 5+ years of people leadership experience, including leadership of managers, supervisors, or team leads
• Bachelor’s degree or equivalent relevant professional experience
• Demonstrated success leading large, high-volume operations with measurable expectations for quality, productivity, timeliness, and outcomes
• Experience managing staffing, capacity, workload, and large case or claims inventories
• Strong analytical and problem-solving skills with demonstrated ability to use operational data to improve performance
• Proven ability to develop frontline leaders and build accountability for measurable outcomes

What Success Looks Like

• More cases move efficiently from identification to recovery-ready status
• Attorneys receive complete, actionable cases with less rework and fewer avoidable delays
• Case inventory is actively managed based on age, value, risk, and progression
• High-value financial opportunities receive appropriate attention and stewardship
• Capacity and staffing are effectively aligned to inventory and business needs
• Supervisors and Case Specialists consistently deliver against expectations for quality, productivity, timeliness, and outcomes
• Operational bottlenecks are identified early and addressed through data-driven problem-solving
• The organization becomes increasingly scalable without relying solely on additional staffing to increase output

Who is Intellivo? 

As an industry market leader in subrogation, Intellivo empowers health plans and insurers to maximize financial outcomes by identifying and pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers. Through innovative technology, Intellivo accelerates the identification of reimbursement opportunities while eliminating burdensome outreach to plan members. With a 26-year history of excellence, Intellivo proudly represents more than 200 of the country's largest health plans. 

Benefits that Support you Inside & Outside of Work

• Comprehensive medical, dental, and vision insurance 
• 401(k) retirement savings plan with employer match 
• Paid time off and paid holidays 
• Company-paid life insurance and short-term and long-term disability coverage 
• Employee Assistance Program with counseling, financial coaching, legal resources
• Health Savings Account with company contributions for eligible employees 
• Wellness, healthcare advocacy, and pet benefits 
• A high-performing, collaborative culture built on ownership, accountability, continuous improvement, and meaningful impact