Claims Manager

Tarvos Talent is partnering with a well-established healthcare benefits/TPA organization to identify an experienced Claims Manager who is ready to make a significant impact.

This is a true leadership opportunity—not just managing day-to-day claims operations, but helping shape the future of the department through process improvements, automation initiatives, and team development.

• Lead and develop a team of claims professionals in a collaborative environment.
• Oversee high-volume group health claims operations (approximately 4,000 claims/week).
• Improve workflows, productivity, and claims processing efficiency.
• Partner cross-functionally with Operations, Account Management, IT, Stop Loss, Customer Service, and Sales.
• Drive automation initiatives and operational improvements while mentoring and coaching your team.

• 5+ years of leadership experience within group health claims
• Claims Management experience in a TPA, self-funded health plan, or insurance carrier
• Strong understanding of claims adjudication, stop loss, provider agreements, and commercial health plans
• Experience leading teams, improving processes, and managing claims inventories
• Hands-on leader who enjoys coaching, mentoring, and creating efficiencies

• Hybrid flexibility (Katy area)
• Excellent benefits package, including BCBS medical, dental, vision, 401(k) with company match, company-paid life, short-term and long-term disability
• High visibility with executive leadership
• Opportunity to put your stamp on the department and build lasting processes
• Collaborative culture that values innovation and employee input

If you have experience with organizations such as a TPA, self-funded health plan, Blue Cross Blue Shield, United Healthcare, Aetna, HCSC, or a similar healthcare claims environment, I'd love to connect.