Claims Manager — $0 Healthcare for You and Your Entire Family

About This Role

The Claims Manager exists to lead a high-performing team that helps members navigate billing, reimbursement, and claims challenges with clarity and confidence.

In this role, you will:

• Lead and develop the Claims team to deliver exceptional member support
• Oversee claims operations while ensuring accuracy, compliance, and efficiency
• Drive scalable processes and partner cross-functionally to improve outcomes

This is a hands-on leadership role for someone who:

• Thrives in building and leading strong teams
• Enjoys solving complex operational and billing challenges
• Keeps the member experience at the center of every decision

What You’ll Do

In this role, you will:

Own: Team performance, structure, and daily operations of the Claims function

Lead: Team development, coaching, goal-setting, and performance management

Oversee: The full lifecycle of provider claims including submissions, adjudication, appeals, and dispute resolution

Ensure: Compliance with plan benefits, regulatory requirements, and internal SOPs through audits and oversight

Support: Members directly with escalated billing and claims issues, providing clear and empathetic communication

Collaborate with: Internal teams including Claims, Care Logistics, and Client Success to ensure seamless coordination and resolution

Improve: Processes, workflows, and outcomes by identifying trends and reducing repeat issues

Track: Performance through KPIs such as speed to process, appeals rates, and negotiation success

A strong performer in this role is known for:

• Building high-performing, accountable teams
• Bringing clarity to complex billing and claims situations
• Driving operational excellence while maintaining empathy for members
• Using data and insights to continuously improve processes

How Success Is Measured

Success in this role is measured by:

• Team performance and development
• Accuracy and efficiency in claims processing and resolution
• Member satisfaction and confidence in billing support
• Improvement in key metrics (speed, appeals rates, outcomes)
• Strong collaboration across departments

What We’re Looking For

We’re looking for someone who:

• 5+ years in a supervisory or managerial role
• Experience in healthcare billing, reimbursement, or claims (Preferred)
• Proven leadership skills and operational excellence
• Strong communication and analytical thinking skills
• A customer-first mindset with a passion for solving complex problems
• A hands-on, collaborative leadership approach

Why Join Redirect Health

What “Free Healthcare” Actually Means

When we say free, we mean $0 out of your paycheck and $0 when you need care:

• $0 monthly premiums
• $0 to add your spouse or children
• $0 deductibles (we reimburse them)
• $0 out-of-pocket maximums

This benefit alone can save families tens of thousands of dollars.

What You’ll Earn

• Salary: $70,000 per year
• FREE healthcare for you and your entire family
• Dental & Vision insurance
• Paid time off & sick time
• 401(k) access
• A mission-driven team that believes in doing the right thing

Ready to Make a Difference?

If you’re looking for more than just a job—and want to help reshape how healthcare works for families—we’d love to hear from you.