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Manager, Claims Operations

518A90CE68B712867516B5A3986512DA · Allied Benefit Systems - CHICAGO, IL 60606; 200 WEST ADAMS ST, CHICAGO, IL, 60606, USA · Remote · Active · $70,000–$85,000 / year · Paycom ATS

Job facts

FieldValue
Company518A90CE68B712867516B5A3986512DA
TitleManager, Claims Operations
Normalized title-
Department / teamClaims
LocationCHICAGO, IL, United States
Work modelRemote / Remote
Employment typeFull Time
Salary$70,000–$85,000 / year
Statusactive
ATS providerPaycom ATS
Posted / first seen2026-05-28 / 2026-05-31
Changed / last seen2026-05-31 / 2026-06-06

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City jobsActive postings in CHICAGO.Open
Department jobsActive postings in Claims.Open
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Linked records

Company518A90CE68B712867516B5A3986512DA
Source53330860-3991-421f-83d6-1b5912da69e2
ATS providerPaycom ATS

Description

Description POSITION SUMMARY The Manager, Claims Operations is responsible for managing the day-to-day operational functions of the Claims Appeals, Claims Medical Review, and Subrogation Teams. ESSENTIAL FUNCTIONS Maintains collective responsibility for the management of services provided by the Claims Appeals, Claims Medical Review and Subrogation Teams. Additionally, responsible for monitoring metrics and operations within these teams Responsible for implementing best practices based on company goals Identify strategic opportunities based on financial analysis and projections, cost/benefit identification and analysis Provide support, guidance, leadership, and motivation to promote maximum performance Responsible for preparing reporting and analysis that is consistent with defined standards and processes Provide technical guidance to staff on claim investigation, reserving evaluation and resolution of claims Partner with analytical team to produce necessary results and trending reports for leadership Review high dollar appeals, medical review referrals, and subrogation cases from members, providers, and other entities Manage all aspects of the day-to-day operations of claims production Interact extensively with various parties involved in the claim process Remain current and aware of impact on claims management strategies Collaborate with other Claims and business leaders to define and drive enterprise initiatives Assist or prepare files for subrogation Create an environment that encourages and values the opinions of others and promotes sharing of information and ideas Oversee monitoring and tracking of individuals and the unit's performance against established productivity and quality goals and metrics. Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent Clearly communicate expectations , provide employees with the training, resources, and information needed to succeed Actively engage, coach, counsel and provide timely, and constructive performance feedback Other duties as assigned EDUCATION Bachelor’s degree or equivalent work experience required EXPERIENCE AND SKILLS At least 5 years of TPA or group health insurance experience including at least 3 years at a supervisor level and successfully demonstrated leadership competencies In-depth knowledge of Claims, Benefits and administrative skills and processes required. Intermediate level work experience with Microsoft Office, Word, Excel, Access, and Power Point software applications The ability to easily learn other software and systems Must be able to write business correspondence and procedures POSITION COMPETENCIES Accountability Coaching and Feedback Collaboration Customer Focus Decision Making Execution Management People Leadership PHYSICAL DEMANDS This is a standard desk job requiring extended sitting and computer work. WORK ENVIRONMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive . The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary.  Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time.  All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process.  It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

Full job record

Job ID57a9f57a6516bc15cb0aa7e23c4f473271d4401d
Org ID1965e05b-56b0-42ea-8904-b761901be22b
Source ID53330860-3991-421f-83d6-1b5912da69e2
Board ID53330860-3991-421f-83d6-1b5912da69e2
Providerpaycom
Provider Job Key186031
TitleManager, Claims Operations
Normalized Title
Statusactive
Activeyes
Location TextAllied Benefit Systems - CHICAGO, IL 60606; 200 WEST ADAMS ST, CHICAGO, IL, 60606, USA
DepartmentClaims
Team
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
RegionIL
CityCHICAGO
Salary Raw$70,000.00 - $85,000.00 Salary
Salary Min70,000
Salary Max85,000
Salary CurrencyUSD
Salary Periodyear
Source URLhttps://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=186031&clientkey=518A90CE68B712867516B5A3986512DA
Apply URLhttps://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=186031&clientkey=518A90CE68B712867516B5A3986512DA
First Seen At2026-05-31 19:05:28Z
Last Seen At2026-06-06 20:18:38Z
Last Checked At2026-06-06 20:18:38Z
Last Changed At2026-05-31 19:05:28Z
Inactive At
Source Posted At2026-05-28 00:00:00Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=paycom/board=518A90CE68B712867516B5A3986512DA/date=2026-06-06/2026-06-06T20-18-36-539Z-288bcf10ecb99cc3c3b94ae5bdea640e2f91da1d2612c14f5d0c144e2bd10258.json
Event Fields
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Extensions
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Native Structured
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    "jobTitle": "Manager, Claims Operations",
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    "description": "<p><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">POSITION SUMMARY</span></span></b></span></span></span></p>\n\n<p><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">The Manager, Claims Operations is responsible for managing the day-to-day operational functions of the Claims Appeals, Claims Medical Review, and Subrogation Teams. </span></span></span></span></span></p>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">ESSENTIAL FUNCTIONS</span></span></b></span></span></span></p>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span style=\"background:#FFFFFF;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">Maintains collective responsibility for the management of services provided by the Claims Appeals, Claims Medical Review and Subrogation Teams. Additionally, responsible for monitoring metrics and operations within these teams</span></span></span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Responsible for implementing best practices based on company goals</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Identify strategic opportunities based on financial analysis and projections, cost/benefit identification and analysis</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Provide support, guidance, leadership, and motivation to promote maximum performance</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Responsible for preparing reporting and analysis that is consistent with defined standards and processes</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Provide technical guidance to staff on claim investigation, reserving evaluation and resolution of claims</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Partner with analytical team to produce necessary results and trending reports for leadership</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Review high dollar appeals, medical review referrals, and subrogation cases from members, providers, and other entities </span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Manage all aspects of the day-to-day operations of claims production</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Interact extensively with various parties involved in the claim process</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Remain current and aware of impact on claims management strategies</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Collaborate with other Claims and business leaders to define and drive enterprise initiatives</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Assist or prepare files for subrogation</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Create an environment that encourages and values the opinions of others and promotes sharing of information and ideas</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Oversee monitoring and tracking of individuals and the unit's performance against established productivity and quality goals and metrics.</span></span></span></span></span></li>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent</span></span></span></span></span></li>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#040c28;\">Clearly communicate expectations</span></span><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#202124;\">, provide employees with the training, resources, and information needed to succeed</span></span></span></span></span></li>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#202124;\">Actively engage, coach, counsel and provide timely, and constructive performance feedback</span></span></span></span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Other duties as assigned</span></span> </span></span></span></li>\n</ul>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">EDUCATION</span></span></b></span></span></span></p>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Bachelor’s degree or equivalent work experience required</span></span></span></span></span></li>\n</ul>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">EXPERIENCE AND SKILLS</span></span></b></span></span></span></p>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">At least 5 years of TPA or group health insurance experience including at least 3 years at a supervisor level and successfully demonstrated leadership competencies </span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span style=\"background:#FFFFFF;\"><span style=\"color:#333333;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">In-depth knowledge of Claims, Benefits and administrative skills and processes required.</span></span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span style=\"background:#FFFFFF;\"><span style=\"color:#333333;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Intermediate level work experience with Microsoft Office, Word, Excel, Access, and Power Point software applications</span></span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span style=\"background:#FFFFFF;\"><span style=\"color:#333333;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">The ability to easily learn other software and systems</span></span></span></span></span></span></li>\n\t<li><span style=\"font-size:12pt;\"><span style=\"background:#FFFFFF;\"><span style=\"color:#333333;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Must be able to write business correspondence and procedures</span></span></span></span></span></span></li>\n</ul>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">POSITION COMPETENCIES</span></span></b></span></span></p>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span style=\"background:#FFFFFF;\"><span style=\"color:#000000;\"><span><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Accountability</span></span></span></span></span></span></span></li>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">Coaching and Feedback</span></span></span></span></span></li>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span 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style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">People Leadership</span></span></span></span></span></li>\n</ul>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#333333;\">PHYSICAL DEMANDS</span></span></span></b></span></span></p>\n\n<ul>\n\t<li style=\"margin-left:8px;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">This is a standard desk job requiring extended sitting and computer work.</span></span></span></span></li>\n</ul>\n\n<p style=\"margin-left:48px;\"> </p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><b><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#333333;\">WORK ENVIRONMENT</span></span></span></b></span></span></p>\n\n<ul>\n\t<li><span style=\"font-size:12pt;\"><span style=\"color:#333333;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Remote</span></span></span></span></span></li>\n</ul>\n\n<p> </p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:10.5pt;\"><span style=\"font-family:Arial, sans-serif;\">Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive</span></span><span style=\"font-size:10.5pt;\"><span style=\"font-family:Calibri, sans-serif;\">.</span></span></span></span></p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:10.5pt;\"><span style=\"font-family:Arial, sans-serif;\">The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.</span></span></span></span></p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:10.5pt;\"><span style=\"font-family:Arial, sans-serif;\">Compensation is not limited to base salary.  Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.</span></span></span></span></p>\n\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-size:10.5pt;\"><span style=\"font-family:Arial, sans-serif;\">Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time.  All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process.  It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. </span></span></span></span></p>",
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