Claims Manager — $0 Healthcare for You and Your Entire Family

Healthcare shouldn’t be something you worry about when it comes to taking care of your family.

That’s why when you join our team, your healthcare costs $0 out of your paycheck—and the same is true for your spouse and children.

No monthly premiums.
No deductibles.
No surprise medical bills.

Most team members avoid tens of thousands of dollars in healthcare costs compared to traditional health plans.

This isn’t a perk.
It’s part of our mission.

Who We Are

Redirect Health exists to make healthcare affordable for small businesses and people who can’t afford traditional employer insurance.

We help real people navigate a system that is often confusing, expensive, and frustrating—and we do it with empathy, accountability, and simplicity.

If you want your work to matter to families every single day, you’ll find purpose here.

How We Work (Our Core Values in Action)

At Redirect Health, our values guide how we show up for each other, our clients, and our members.

We do our best work when we:

Obsess Over People
We are always helpful, friendly, and human.

Own It to Completion
If we take something on, we see it through.

Always Improve & Adapt
We learn quickly and adjust without ego.

Always Start with “Yes, We Can Help You”
We lead with solutions and figure out the rest.

Succeed as a Team
We win together through trust and collaboration.

Detest Waste & Unnecessary Complexity
We remove friction so we can focus on what truly helps people.

If these values resonate with you, you’ll feel at home here.

About This Role

The Claims Manager exists to lead a high-performing team that helps members navigate billing, reimbursement, and claims challenges with clarity and confidence.

In this role, you will:

• Lead and develop the Claims team to deliver exceptional member support
• Oversee claims operations while ensuring accuracy, compliance, and efficiency
• Drive scalable processes and partner cross-functionally to improve outcomes

This is a hands-on leadership role for someone who:

• Thrives in building and leading strong teams
• Enjoys solving complex operational and billing challenges
• Keeps the member experience at the center of every decision

What You’ll Do

In this role, you will:

Own: Team performance, structure, and daily operations of the Claims function

Lead: Team development, coaching, goal-setting, and performance management

Oversee: The full lifecycle of provider claims including submissions, adjudication, appeals, and dispute resolution

Ensure: Compliance with plan benefits, regulatory requirements, and internal SOPs through audits and oversight

Support: Members directly with escalated billing and claims issues, providing clear and empathetic communication

Collaborate with: Internal teams including Claims, Care Logistics, and Client Success to ensure seamless coordination and resolution

Improve: Processes, workflows, and outcomes by identifying trends and reducing repeat issues

Track: Performance through KPIs such as speed to process, appeals rates, and negotiation success

A strong performer in this role is known for:

• Building high-performing, accountable teams
• Bringing clarity to complex billing and claims situations
• Driving operational excellence while maintaining empathy for members
• Using data and insights to continuously improve processes

How Success Is Measured

Success in this role is measured by:

• Team perfor