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 Operationsleads 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, andrecovery-ready before being transitioned to attorneys for recovery.
This role ownspeople 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 foroutcomes, not simply activity.
What You’ll Do
Lead the Operation
- Lead and develop ateam of supervisors and 40+ Case Specialistsmanaging 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
- Managestaffing, capacity, workload distribution, and prioritiesbased 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 arrivecomplete, actionable, and ready for recovery, reducing downstream delays and rework
Use Data to Improve Results
- Monitor inventory foraging, progression, quality, financial exposure, and barriers
- Use case value, aging, progression, and risk toprioritize 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 ofownership, 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 managingstaffing, capacity, workload, and large case or claims inventories
- Strong analytical and problem-solving skills with demonstrated ability touse 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 torecovery-ready status
- Attorneys receivecomplete, actionable cases with less rework and fewer avoidable delays
- Case inventory is actively managed based onage, 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 forquality, 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,Intellivoempowers health plans and insurers to maximize financial outcomes byidentifyingand pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers. Through innovative technology,Intellivoaccelerates the identification ofreimbursement opportunities whileeliminatingburdensome outreach to plan members. With a 26-year history of excellence,Intellivoproudlyrepresentsmore 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
