Provides strategic leadership and oversight of claims operations for Meritain TPA, managing teams to ensure timely and accurate adjudication of self-funded, short-term medical, and dental claims. Responsible for service strategy, quality assurance, performance metrics, process improvement, resource and budget management, and leveraging healthcare IT. Requires a minimum of 7 years of claims operations experience; TPA and self-funding experience preferred and prior leadership managing large teams; bachelor’s degree preferred.

Full-time Senior Coordinator (remote) handling appeals, complaints, and grievance cases: investigates complex escalations, ensures timely and compliant responses, identifies trends, produces reports, and serves as point of contact for leadership/regulators. Requires at least 2 years' related experience (claims, benefits, patient management, compliance, provider relations, customer service or audits). Pay range: $18.50–$31.72/hour.