Call Center Claims Operations Manager at Leading Edge Connections | Amherst, NY, US | Rezi

Call Center Claims Operations Manager at Leading Edge Connections

Call Center Claims Operations Manager

Leading Edge Connections · Amherst, NY, US

Yesterday

Call Center Claims Operations Manager

Leading Edge Connections · Amherst, NY, US

a day ago
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About the Role

LEC is seeking an experienced and motivated Operations Manager to oversee a team of remote Healthcare Administrative Claims Agents. This role ensures efficient day-to-day operations while maintaining high standards for productivity, quality, accuracy, client service, and compliance. The ideal candidate is a strong people leader familiar with call center operations, healthcare administration, insurance claims, or revenue cycle processes.

Responsibilities

  • Directly manage and support a team of remote Healthcare Administrative Claims Agents.
  • Provide daily leadership, direction, coaching, and accountability to team members.
  • Monitor attendance, schedules, workload, productivity, and overall team performance.
  • Conduct regular one-on-one meetings, coaching sessions, and performance reviews.
  • Identify employee strengths and development opportunities.
  • Address performance concerns professionally and consistently.
  • Promote a positive, accountable, and team-oriented work environment.
  • Oversee daily claims follow-up and healthcare administrative operations.
  • Ensure agents follow established processes, scripts, workflows, and client-specific requirements.
  • Monitor work queues and ensure tasks are completed accurately and within required timeframes.
  • Identify workflow bottlenecks and implement process improvements.
  • Ensure appropriate coverage and distribution of work across the team.
  • Escalate operational issues and client concerns when appropriate.
  • Help develop and maintain standard operating procedures and training materials.
  • Monitor key performance indicators, including productivity, quality, accuracy, call activity, documentation, and task completion.
  • Conduct quality reviews of agent work and documentation.
  • Provide actionable feedback and coaching based on performance results.
  • Ensure agents accurately document insurance calls, claim statuses, payer responses, and follow-up requirements.
  • Track team performance against client expectations and internal goals.
  • Develop corrective action and improvement plans when necessary.
  • Assist with onboarding and training new Claims Specialists.
  • Reinforce proper call handling, documentation, and payer inquiry procedures.
  • Identify recurring training needs and coordinate refresher training.
  • Help agents improve communication, productivity, accuracy, and system proficiency.
  • Maintain consistency in processes across the team.
  • Serve as an escalation point for agent questions and operational issues.
  • Communicate effectively with LEC leadership regarding team performance and operational needs.
  • Assist with client communications and service-related escalations.
  • Ensure client expectations and process changes are communicated clearly to the team.
  • Provide regular reporting and updates regarding team performance and operational trends.

Requirements

  • 2+ years of management, supervisory, or team-lead experience, preferably in a call center, healthcare, insurance, claims, or administrative environment.
  • Healthcare, insurance claims, medical billing, or revenue cycle experience strongly preferred.
  • Experience managing remote or distributed teams is a plus.
  • Strong understanding of call center performance metrics and quality standards.
  • Excellent verbal and written communication skills.
  • Strong leadership, coaching, problem-solving, and conflict-resolution abilities.
  • Highly organized with strong attention to detail.
  • Comfortable working with multiple computer systems and platforms.
  • Ability to analyze performance data and identify trends or opportunities for improvement.
  • Ability to enforce policies and procedures while maintaining positive employee relationships.
  • Strong time-management and multitasking skills.

Skills

  • Call center operations
  • Healthcare administration
  • Insurance claims
  • Revenue cycle processes
  • People leadership
  • Coaching
  • Performance management
  • Process improvement
  • Data analysis
  • Communication
  • Problem-solving
  • Conflict resolution
  • Time management
  • Multitasking

Location

  • Amherst, NY

Work Type

  • Full-Time
  • On-Site

Experience Level

  • Management
  • Supervisory
  • Team-lead

Education Level

  • High School Diploma or equivalent required
  • College degree or relevant professional experience preferred

Salary/Compensations

  • Starting at $55,000 annually

About the Company

  • LEC is seeking an experienced and motivated CSC Operations Manager to oversee our team of remote Healthcare Administrative Claims Agents.
  • This role is responsible for ensuring day-to-day operations run efficiently while maintaining high standards for productivity, quality, accuracy, client service, and compliance.
  • The ideal candidate is a strong people leader who understands call center operations, healthcare administration, insurance claims, or revenue cycle processes and can effectively coach a team that communicates directly with insurance carriers and payer representatives.
  • This is an opportunity to take a leadership role in a growing healthcare administrative operation and directly contribute to the success of a remote team serving healthcare clients across the country.
  • If you're an organized, results-driven leader who enjoys developing people and improving operations, we'd like to hear from you.
  • Apply today to join LEC as our next Operations Manager.