Claims Operations Manager Jobs
Claims Operations Manager jobs are open across insurance, healthcare, financial services, and third-party administrators, at every level from team lead to director, with specializations in auto claims, workers' compensation, and property and casualty operations. Find a role that fits below and apply directly.
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About Curative
Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B, Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce.
Our north star guides everything we do: healthcare only works when people can actually use it. That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team.
If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We’re growing fast and looking for teammates who want to help transform health insurance for the better.
SUMMARY
We are seeking an exceptional operational leader to drive transformational process improvement across our claims operations and broader business functions. This is a strategic roledesigned for someone with consulting or corporate operations background who can identify systemic inefficiencies, redesign workflows, and implement scalable solutions that enhance both speed and accuracy. You will own end-to-end claims processes, contracting workflows, and cross-functional process optimization initiatives. brief summary of the job description.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Map, audit, and systematically redesign the end-to-end claims life cycle—from initial intake and adjudication to dispute resolution and settlement.
Identify bottlenecks, redundancies, and defect rates; implement automated, scalable workflows to decrease cycle times and processing costs.
Establish standard operating procedures (SOPs) and build clear process maps (BPMN) that integrate human review with technological automation.
Oversee the end-to-end workflow for partner/vendor contracting, onboarding, and compliance tracking.
Translate complex contractual commitments into operational rules, SLAs, and measurable guardrails for the claims and fulfillment teams.
Partner with Legal, Sales, and Finance to streamline handoffs and cycle times between deal closing and operational execution.
Partner with engineering/product teams to define functional requirements for internal tools, CRM/ERP workflows, and automation rules.
This position assumes and performs other duties as assigned.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:
Experience: 6–10+ years of progressive experience in business process management, operational transformation, or strategy & operations.
Consulting Foundation: 2–4+ years at a top-tier management consulting firm or inside a high-growth tech/operations environment is strongly preferred.
Domain Knowledge: Direct exposure to claims workflows (insurance, healthcare, fintech, warranty) or contract lifecycle management (CLM) is a strong plus, though structured operational instincts take precedence.
Analytical Chops: Advanced quantitative modeling skills (Excel/Sheets, SQL, or BI tools like Tableau/Looker) with a track record of using data to drive operational decisions.
Communication: Exceptional ability to synthesize complex, messy processes into clear executive narratives, swimlane diagrams, and actionable roadmaps.
EDUCATION and/or EXPERIENCE
Bachelor's degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; talk; and hear.
- Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
- The noise level in the work environment is usually: Mild
Perks & Benefits
Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)
$0 copays and $0 deductibles (with completion of our Baseline Visit )
Preventive and primary care built in
Mental health support
One-on-one care navigation
Chronic condition programs (diabetes, weight, hypertension)
Maternity and family planning support
24/7/365 Curative Telehealth
Pharmacy benefits
Comprehensive dental and vision coverage
Employer-provided life and disability coverage with additional supplemental options
Flexible spending accounts
Generous PTO policy plus 11 paid annual company holidays
401K for employees
Generous Up to 8–12 weeks paid parental leave, based on role eligibility.
About Curative
Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B, Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce.
Our north star guides everything we do: healthcare only works when people can actually use it. That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team.
If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We’re growing fast and looking for teammates who want to help transform health insurance for the better.
SUMMARY
We are seeking an exceptional operational leader to drive transformational process improvement across our claims operations and broader business functions. This is a strategic roledesigned for someone with consulting or corporate operations background who can identify systemic inefficiencies, redesign workflows, and implement scalable solutions that enhance both speed and accuracy. You will own end-to-end claims processes, contracting workflows, and cross-functional process optimization initiatives. brief summary of the job description.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Map, audit, and systematically redesign the end-to-end claims life cycle—from initial intake and adjudication to dispute resolution and settlement.
Identify bottlenecks, redundancies, and defect rates; implement automated, scalable workflows to decrease cycle times and processing costs.
Establish standard operating procedures (SOPs) and build clear process maps (BPMN) that integrate human review with technological automation.
Oversee the end-to-end workflow for partner/vendor contracting, onboarding, and compliance tracking.
Translate complex contractual commitments into operational rules, SLAs, and measurable guardrails for the claims and fulfillment teams.
Partner with Legal, Sales, and Finance to streamline handoffs and cycle times between deal closing and operational execution.
Partner with engineering/product teams to define functional requirements for internal tools, CRM/ERP workflows, and automation rules.
This position assumes and performs other duties as assigned.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:
Experience: 6–10+ years of progressive experience in business process management, operational transformation, or strategy & operations.
Consulting Foundation: 2–4+ years at a top-tier management consulting firm or inside a high-growth tech/operations environment is strongly preferred.
Domain Knowledge: Direct exposure to claims workflows (insurance, healthcare, fintech, warranty) or contract lifecycle management (CLM) is a strong plus, though structured operational instincts take precedence.
Analytical Chops: Advanced quantitative modeling skills (Excel/Sheets, SQL, or BI tools like Tableau/Looker) with a track record of using data to drive operational decisions.
Communication: Exceptional ability to synthesize complex, messy processes into clear executive narratives, swimlane diagrams, and actionable roadmaps.
EDUCATION and/or EXPERIENCE
Bachelor's degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; talk; and hear.
- Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
- The noise level in the work environment is usually: Mild
Perks & Benefits
Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)
$0 copays and $0 deductibles (with completion of our Baseline Visit )
Preventive and primary care built in
Mental health support
One-on-one care navigation
Chronic condition programs (diabetes, weight, hypertension)
Maternity and family planning support
24/7/365 Curative Telehealth
Pharmacy benefits
Comprehensive dental and vision coverage
Employer-provided life and disability coverage with additional supplemental options
Flexible spending accounts
Generous PTO policy plus 11 paid annual company holidays
401K for employees
Generous Up to 8–12 weeks paid parental leave, based on role eligibility.
Claims Operations Manager Jobs by Experience Level
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Who's Hiring
Top Industries Hiring
- Insurance
What Employers Look For
The qualifications that appear most often in claims operations manager jobs.
- Five or more years of claims handling or claims operations experience
- Prior supervisory or management experience leading claims teams
- Proficiency with claims management systems such as Guidewire or similar platforms
- Working knowledge of insurance regulations and state-specific compliance requirements
- Experience managing KPIs such as cycle time, severity, and customer satisfaction scores
- Property and casualty adjuster license or willingness to obtain one
Tips for Your Claims Operations Manager Job Search
Quantify your claims throughput on your resume
Hiring managers want to see volume and efficiency, not just job duties. Include the number of claims your team processed monthly, cycle time reductions you drove, and any accuracy or compliance metrics you improved under your leadership.
Highlight your adjudication authority limits
Many postings specify a dollar threshold for settlement or reserve authority. Call out your exact authority level on your resume so reviewers immediately know whether you fit their delegation requirements without having to dig for it.
Apply early to roles that fit
Migrate Mate lists claims operations manager openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by line of business first
Auto, workers' comp, property, and liability operations each have distinct workflows and regulatory environments. Search by line of business rather than title alone so you're applying to roles where your specific claims experience is directly transferable.
Prepare a staffing model example for interviews
Interviewers for operations roles almost always probe capacity planning. Walk in ready to explain how you've built or adjusted a staffing model, including the data you used, the assumptions you made, and the outcome it produced.
Negotiate start date around licensing timelines
Some claims operations manager roles require a property and casualty adjuster license in certain states. If you're unlicensed, clarify whether the employer sponsors the exam and negotiate a start date that gives you time to sit for it before your first day.
Claims Operations Manager Jobs: Frequently Asked Questions
Which companies are hiring the most claims operations managers?
USAA, MedPro, and Berkshire Hathaway GUARD Insurance Companies are hiring the most claims operations managers right now, with openings concentrated in Texas, California, and Pennsylvania, based on current listings on Migrate Mate as of November 2026. Regional carriers and third-party administrators also post frequently, so check listings across both national and regional employers.
How many claims operations manager jobs are remote?
About 85% of claims operations manager openings are fully remote or hybrid as of November 2026, with remote availability skewed toward roles focused on workers' compensation and commercial lines rather than auto or property claims that require more hands-on adjuster supervision. Fully on-site roles are still common at regional carriers.
How do you become a claims operations manager?
Start as a claims adjuster or examiner in a specific line of business such as auto, property, or workers' compensation, and build a record of handling complex files independently. Move into a team lead or supervisor role to gain people management experience, then target operations manager openings that match your line of business. Earning a claims designation such as AIC or CPCU accelerates the path significantly.
Can you get hired as a claims operations manager without direct management experience?
Yes, some employers will consider candidates who have led project teams, trained junior adjusters, or served as a senior examiner with informal leadership duties, even without a formal management title. Frame those experiences in terms of the outcomes you drove for the team, and target smaller carriers or third-party administrators where the management structure is leaner and growth into the role is expected.
What does the claims operations manager interview process look like?
Most processes run three to four rounds. An initial screening call with HR is followed by a panel interview with operations leadership that focuses on process improvement, team management, and compliance experience. Expect a case-style exercise where you're asked to diagnose a claims workflow problem or build a staffing plan. Final rounds typically include a conversation with a senior director or VP before an offer is extended.
Where can I find and apply to claims operations manager jobs?
You can find and apply to claims operations manager jobs on Migrate Mate, which lists current openings from across the United States in one place. Find roles that match your line of business and seniority level, then apply directly to each listing that fits.
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