Sr. Manager, Insurance Claims Operations

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