Shawn Decker

Claims Production Manager @Health New England

Springfield, MA, US

Claims Operations Leader | Strategic Oversight | Compliance & Transformation ExpertSeasoned leader with end-to-end accountability for Claims Production operations, ensuring strategic initiatives are executed in alignment with regulatory requirements, internal controls, and enterprise policies. Spearhead productivity, accuracy, and timeliness across claims adjudication, post-payment adjustments, inventory management, and quality assurance for Commercial, ASO, and Government Programs on the AMISYS Advance platform.Drive performance against key operational metrics, service level agreements, and employer service level guarantees while managing departmental budgets and supporting enterprise-wide goals. Provide deep subject matter expertise in claims administration and healthcare operations, guiding large-scale transformation, integration, and remediation efforts that reshape the operating environment.Lead cross-functional teams within a matrixed organization, establishing governance frameworks and continuous improvement protocols. Ensure transparent communication with senior leadership and maintain a strong compliance posture throughout all phases of change.