No longer accepting applications
AVP - Claims handling (US Healthcare)
Selections HR Services Private LimitedBangalore, IN1 day ago
Job descriptionAct as the primary operations leader for client engagement, reviews, and performance governance. Present insights, solutions, and recommendations for business growth and value creation. Lead a span of 800+ FTE across multiple locations. Drive performance management, succession planning, training, and employee engagement. Ensure adherence to HIPAA, ISO, and internal audit / compliance requirements. Own SLA delivery, quality metrics, audits, and performance scorecards. 18–20+ years of experience in Healthcare BPM with 10–12+ years in US Healthcare Claims Operations . Proven experience managing large delivery teams and multimillion-dollar portfolios. Strong domain knowledge of the claims lifecycle and payer operations. Demonstrated expertise in transformation, automation, and service delivery excellence. Strong communicator, influential leader, and solution-oriented thinker.
About the Role
We are hiring an accomplished AVP – Claims Operations (US Healthcare) to lead and transform large-scale claims operations, elevate service delivery, and drive innovation across a major healthcare BPM setup.
The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portfolio of USD 10–20M. This is a high-impact leadership role reporting into the senior operations leadership team.
Key Responsibilities
Strategic & Operational Leadership
- Lead end-to-end US Healthcare Claims Operations to industry-leading standards.
- Manage large-scale back-office claims functions including PI, SIU, Rework, Enrollment, Coding, Product Build, etc.
- Drive automation, RPA, analytics, and transformation initiatives.
- Manage P&L, budgets, revenue optimization, cost control, and workforce planning.
Client & Stakeholder Management
People Leadership
Governance & Compliance
Ideal Candidate Profile
Create a job alert for this search
Avp • Bangalore, IN
Related jobs
![AVP - Operations [T500-20813]](https://cdn-logos.talent.com/v1/logo/image?feedcode=clickcast-appcast-li-in-cpc&company_name=ANSR)
- Promoted
Claims Manager - Medical Claim Audit
NaviBengaluru, India The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions.As the quality audit function, the team conducts regular audits of agent communicati...Show moreLast updated: 30+ days ago
- Promoted
- New!
Guidewire Claim Center
The AES GroupBangalore, IN Guidewire ClaimCenter Integration Developer.Bangalore and Pune (preferred).Guidewire ClaimCenter Integration Developer.The role involves developing REST / SOAP APIs, designing batch and messaging pro...Show moreLast updated: 13 hours ago
- Promoted
Claims and AR Dental Billing Agent
iCoreBangalore, IN We are seeking a detail-oriented and organized Dental Claims Submission and Accounts Receivable (AR) Agent to join our dental practice team.
This role is responsible for the timely submission of den...Show moreLast updated: 1 day ago
- Promoted
Senior Manager AVP VP Retention, Health & Benefits
WTWBengaluru, Karnataka, India Maintain TAT for all assignments3.Maintain healthy relationship with insurance companies and TPA4.Ensure Proper and Systematic documentation (folder management)5.
Claims Management (GPA and GTL clai...Show moreLast updated: 11 days ago
- Promoted
Avp - Claims Handling (Us Healthcare)
Selections HR Services Private LimitedBengaluru, Republic Of India, IN AVP – Claims Operations (US Healthcare).The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portf...Show moreLast updated: 1 day ago
- Promoted
AVP - Claims handling (US Healthcare)
ConfidentialBengaluru / Bangalore, India AVP – Claims Operations (US Healthcare).The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portf...Show moreLast updated: 1 day ago
- Promoted
Claims Management Associate Manager
ConfidentialBengaluru / Bangalore, India Property & Casualty- Claims Processing - Insurance Claims.Claims Management Associate Manager.Accenture is a global professional services company with leading capabilities in digital, cloud and sec...Show moreLast updated: 19 days ago
- Promoted
Claims Specialist
PlumBengaluru, Karnataka, India Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations.
Healthcare in India is seeing a phenomenal sh...Show moreLast updated: 30+ days ago
- Promoted
- New!
VP of Claims Operations - US Healthcare
Selections HR Services Private LimitedBengaluru, Republic Of India, IN AVP – Claims Operations (US Healthcare).The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portf...Show moreLast updated: 20 hours ago
- Promoted
Team Leader, US Mortgage Claims
ConfidentialBengaluru / Bangalore Supervise and lead a group of associates to meet all SLAs relatives to all functions in the department.Maintain daily, weekly, and monthly production reports along with MBR and QBR including prepar...Show moreLast updated: 30+ days ago
- Promoted
Claims Representative
ConfidentialBengaluru / Bangalore, India At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection.
Responsible Growth is how we run our company and how we deliver for o...Show moreLast updated: 30+ days ago
- Promoted
- New!
Senior Director, Healthcare Claims Management
Selections HR Services Private LimitedBengaluru, Republic Of India, IN AVP – Claims Operations (US Healthcare).The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portf...Show moreLast updated: 20 hours ago
- Promoted
Claims Management Specialist
ConfidentialBengaluru / Bangalore, India Property & Casualty- Claims Processing - Insurance Claims.Accenture is a global professional services company with leading capabilities in digital, cloud and security.
Combining unmatched experience...Show moreLast updated: 19 days ago
- Promoted
AVP - Claims handling (US Healthcare)
Selections HR Services Private LimitedBengaluru, Karnataka, India AVP – Claims Operations (US Healthcare).The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portf...Show moreLast updated: 23 hours ago
- Promoted
- New!
Head of US Healthcare Claims
Selections HR Services Private LimitedBengaluru, Republic Of India, IN AVP – Claims Operations (US Healthcare).The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portf...Show moreLast updated: 20 hours ago
- Promoted
AVP - Operations [T500-20813]
ANSRBengaluru, Karnataka, India ANSR is a market leader in enabling organizations to build, manage and scale global teams through Global Capability Centers (GCCs).
We provide full life-cycle services including GCC design, set up a...Show moreLast updated: 30+ days ago
- Promoted
Senior Claims Manager - Medical Claim Audit
NaviBengaluru, India The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions.As the quality audit function, the team conducts regular audits of agent communicati...Show moreLast updated: 30+ days ago
- Promoted
Claims Manager - Medical Claim Audit
ConfidentialBengaluru / Bangalore, India The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions.As the quality audit function, the team conducts regular audits of agent communicati...Show moreLast updated: 18 days ago