Justin Vigeant

I’m a healthcare operations leader with 10+ years of progressive experience in claims administration, managed care operations, and team leadership. I’m known for developing and implementing high-impact claims processing strategies that improve accuracy, efficiency, and customer satisfaction.

As Manager, Claims Administration at Martin’s Point Health Care, I led strategic oversight of claims processing, audit functions, and performance analysis. I developed claims policies, procedures, and training protocols aligned with Defense Health Agency and CMS benefit standards, and I managed a $3.2M operational budget focused on cost efficiency, financial accuracy, and risk mitigation.

I built a robust internal audit program that improved departmental claims accuracy and reduced processing errors. I analyze claims trends to generate actionable insights—driving workflow enhancements, automation opportunities, and staff realignment—while collaborating across Finance, IT, and other stakeholders to protect data integrity and reporting accuracy.

I also supported CMS audits through data validation and financial compliance, delivering successful outcomes with minimal corrective actions. I’ve contributed to EDI solutions and other technical initiatives to streamline claims processes, and I bring a change-led, continuous-improvement mindset to every team I lead.