Top Operations & Support Jobs in San Francisco, CA

Handle inbound dental insurance customer inquiries via phone and email from a home office. Research policy and claim status, process transactions, refer or escalate policy changes, and use multiple systems to deliver empathetic, accurate service while tracking responses to resolution.

Handle inbound dental insurance customer inquiries via phone and email, research policy and claim information, process transactions, route complex requests, and use multiple systems to deliver empathetic, accurate service while strengthening customer relationships.

Manage initial long-term care eligibility determinations by reviewing medical and policy documentation, conducting detailed information-gathering calls, composing decision letters, communicating outcomes to policyholders, and partnering with medical, legal, and customer resources. Maintain timely, compliant, and well-documented case files and represent the company in deposition or trial when required.

Lead operational risk activities for Global Customer Service & Operations in South America. Maintain GRC data in OpenPages, execute risk assessments and control reviews, produce risk reporting, support issue identification and control metrics, partner with stakeholders and corporate functions, and evaluate AI tool opportunities to improve risk operations. Spanish fluency required.

Lead strategic design and day-to-day delivery of Short-Term Disability and Absence Management claims for Jumbo Accounts (50k+ lives). Build and run a dedicated operating model, manage vendors/offshore teams, oversee performance, compliance, budgets (~$10M+), client relationships, and large implementations. Drive workforce planning, analytics/KPIs, continuous improvement, and talent development to ensure scalable, compliant, and client-centric claims operations.

Lead and coach a team that investigates disability and absence claims, ensuring adjudication accuracy, compliance, and strong customer experience. Manage performance, training, quality reviews, call monitoring, and administer concurrent claims (e.g., STD, FMLA, PFML). Escalate issues and drive process improvements to meet business objectives and expense targets.