Opportunity at
SutherlandTeam Manager | AO Clinical Claims (Pooling)
This full-time, on-site leadership role in Manila manages a group of claims staff, including clinical claims associates and specialists handling accident and occupational (AO) claims for…
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About This Role
This full-time, on-site leadership role in Manila manages a group of claims staff, including clinical claims associates and specialists handling accident and occupational (AO) claims for Sutherland. The manager oversees daily team operations, tracks productivity, quality and compliance targets, coaches staff and keeps client relationships steady through reviews and improvement projects. The posting suits a licensed registered nurse with several years of clinical experience and at least two years of…
Job Description
This full-time, on-site leadership role in Manila manages a group of claims staff, including clinical claims associates and specialists handling accident and occupational (AO) claims for Sutherland. The manager oversees daily team operations, tracks productivity, quality and compliance targets, coaches staff and keeps client relationships steady through reviews and improvement projects.
The posting suits a licensed registered nurse with several years of clinical experience and at least two years of people leadership in healthcare or claims operations, who knows medical terminology and healthcare compliance rules well.
Responsibilities
- Oversee the day-to-day running of the claims teams assigned to the role
- Monitor productivity, quality, accuracy and turnaround goals, then act on gaps
- Coach staff, run performance reviews and plan career growth
- Lead corrective action and process improvement projects
Requirements
- Active, unrestricted US Registered Nurse license
- A BSN or a comparable nursing credential
- Three to five years of clinical nursing work in healthcare or claims settings, plus at least two years leading people
- Internal candidates need an Exceeds Expectations or Outstanding performance rating, 18 months in role and no active DA on record
Qualifications
- Grasp of medical vocabulary, charting standards and healthcare workflows
- Lean Six Sigma credential or improvement-focused certification
- Familiarity with HIPAA rules and healthcare compliance obligations
- Prior work in disability claims, utilization review or case management
Core Skills
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Where is the job located?
The job is on-site in Manila, according to the listing.
Is a nursing license required?
A current, unrestricted US RN license is required, and the posting says so directly.
Is a salary stated?
The posting does not state a salary.
Sample Interview Questions
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