Claims Manager (Remote)

Join Us!
Take the next step in your journey at Inspira Financial. You will help businesses and individuals thrive today, tomorrow, and into retirement. Become part of a company that is people centric and client obsessed in every interaction; a community of forward-thinking individuals focused on driving results to deliver our mission with an unwavering commitment to integrity. Join us as we strengthen and simplify the health and wealth journey -- relentlessly pursuing better outcomes for all. We believe in finding the best talent! While some roles are based at one of our office locations, remote roles can sit in any of the following states: AL, AZ, FL, GA, IA, IL, IN, MI, MN, MO, NC, NE, PA, SC, TN, TX, UT, VA and WV. Remote status and role locations are subject to change. Relocation is not provided.
Employees within a 90-minute radius of our Oak Brook, IL headquarters are required to adhere to the company in-office work guidelines of 4 days per month minimum from 10 am to 2 pm (1 of the 4 days must be a Monday or Friday).
This requirement does not apply to support specialist positions.
Don't meet every single requirement? Here at Inspira Financial, we believe there is no "perfect" candidate and want to encourage applying even if all the requirements listed aren't met. Our goal is to build an authentic workplace by valuing diversity in our candidates. We work to ensure that our team reflects the diversity of the businesses and clients we serve. We are always looking to expand our growing team with dynamic and enthusiastic individuals. If you enjoy a collaborative, fun environment that champions career development, Inspira Financial is the place for you! We look forward to receiving your application! Check out this Inspira Financial video to learn more about our company!
Inspira Financial provides health, wealth, retirement, and benefits solutions that strengthen and simplify the health and wealth journey. With more than 7 million clients, representing over $62 billion in assets, Inspira works with thousands of employers, plan sponsors, recordkeepers, TPAs, and other institutional partners -- helping the people they care about plan, save, and invest for a brighter future. Inspira relentlessly pursues better outcomes for all with our automatic rollover services, health savings accounts, emergency savings funds, custody services, and more. Learn more at inspirafinancial.com .
We have been recognized for our remarkable growth on lists such as Crain's Fast 50 and Inc. 5000, and for our outstanding workplace culture and benefits with Built In's 2025 Best Places to Work and Gallagher's 2022 Best-In-Class Employer awards.
Job Summary & Responsibilities
The Manager Claims Support will report to the Director of Claims, in the H&B Core Operations Department. This role is responsible for the Claims Quality, Appeals, Resource Allocation Decisions (RAD's) and Hardship Activations departments. Responsible for the proactive minimization of risk, appeals, and claims payment errors, during quality reviews. Holistically, educating current teams and partner departments on trends to cultivate awareness and continuous improvement.
Duties & Responsibilities:

• Oversee multi-functional teams that support the claims processing department, i.e., Quality, Appeals, Resource Allocation Decision's (RAD) and Hardship Activation Diaries.
• Develop, monitor, track, analyze and trend performance, for each applicable client and claims processor; recommends specific actions and/or remedies, as necessary.
• Execute strategic planning and training with a focus on cultivating an agile, efficient, and cost-effective Quality, Appeals and RAD ecosystem.
• Attract, select, and retain high caliber, diverse talent able to successfully achieve or exceed business goals.
• Maintain expertise in systems, and applicable applications (CBAS, Laserfiche, QuickBase, SharePoint, etc.) to advance departments, teams, and processes.
• Utilize independent leadership skills to manage aligned departments to the goals of the Center of Excellence (COE).
• Create and consistently maintain tools, job aids, and training materials throughout the course of business and conduct annual signoff reviews to ensure resources are accurate and up to date.
• Maintain effective communication with Claims, Member Services, and other departments.
• Establish a clear vision aligned with company values; set specific challenging and achievable objectives and action plans.
• Motivate others to balance customer needs and business success; challenge self and others to look to the future to create quality products, services, and solutions.
• Attract, select, and retain high caliber, diverse talent able to successfully achieve or exceed business goals; build a cohesive team that works well together.

Managerial Responsibilities:

• Recruits, interviews, hires, and trains new staff.
• Oversees the daily workflow of aligned department(s).

• Assess and document individual and team performance monthly and throughout the month to provide candid and timely developmental feedback and performance management, as needed.

• Document and maintain employee's monthly one on ones, quarterly, mid-year and annual reviews within the system for timely evaluations.
• Increase and maintain knowledge and awareness in all applicable products by obtaining additional training and assisting with tasks commonly assigned to direct reports.
• Ensure adherence to department metrics, and quality, to meet and/or exceed service levels and performance guarantees.
• Set team priorities, allocate resources, and manage to team cohesion.

Preferred Qualifications
Education & Experience:

• 7-10 years of experience in Claims, Appeals and/or Quality
• 5+ years of Leadership experience
• High School Diploma

Skills & Abilities:

• Proactive evaluation of productivity and quality for coaching and improvement
• Excellent analytical skills with a proactive nature
• Strong organization skills with a drive to meet deadlines
• An affinity for accuracy and efficiency
• Proficiency in Microsoft Excel, Word (including mail merge) and Outlook
• Strong verbal and written communication skills
• An aptitude for prioritization and multi-tasking
• Strong collaboration skills
• A drive to learn and apply new concepts quickly
• Experience with Salesforce CRM preferred

Other Requirements:

• Business travel (up to 10% annually)
• Video meetings, as needed
• Ability to work overtime as needed to successfully manage the department
• Prolonged periods of sitting at a desk, talking during meetings, and working on a computer

Compensation & Benefits
$76,000-$84,000 per year