Manager, Claims Processing - carrot : Job Details

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Carrot is seeking a Manager, Payments who will manage Claims Processing team members while providing the following: Oversee the day-to-day claims processing operations and member communications, working closely with the other managers and leadership; Manage schedules and duties of all Claims Processors related to business needs from a holistic view; Hire and develop high-performing Claims Processors and Senior Claims Processors to provide world-class member service in multiple support channels; Work closely with the Director of Payments to evaluate, test, and implement departmental and operational improvements; Drive operational excellence by monitoring and holding team members accountable to KPIs and individual metrics; Be available to work Monday through Friday 11:00 AM - 8:00 PM CT. The Payments team is a group of compassionate and dedicated individuals focused on contributing to Carrot's mission of inclusivity and accessibility in fertility and family-forming services. This team is responsible for adjudicating all incoming member reimbursement requests, while ensuring an exceptional member experience. The team will coordinate activity with insurance payers to ensure that payment for applicable care is quickly and accurately facilitated. This role will be based in office in Des Moines, Iowa. Minimum Qualifications include a Bachelor's degree, 3-5 years of experience in healthcare, insurance, or related SAAS technology leading a high-growth team dedicated to service, ability to work independently, extensive customer service experience, people management, organizational skills, proven experience growing and scaling a large global team, passion or interest in family-forming space, track record of exceeding targets and KPIs, performance management skills, ability to build consensus and foster culture change, ability to implement process enhancements, business acumen, outstanding communication skills, and prior exposure to high-growth, fast-paced environments. Preferred qualifications include extensive knowledge of insurance regulations and proficiency with business tools such as Jira, Confluence, Zendesk, Airtable, and G-Suite.

Seniority level

• Seniority levelMid-Senior level

Employment type

• Employment typeFull-time

Job function

• Job functionFinance and Sales
• IndustriesHospitals and Health Care

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