Claims Operations Team Leader

Job Summary

A company is looking for a Claims Team Leader.

Key Responsibilities:

• Oversee claims adjudication and assist in the absence of the Claims Supervisor
• Support training, mentoring, and coaching of Claims Operations staff
• Act as a subject matter expert for escalated claims issues and coordinate system testing

Required Qualifications:

• Associate's degree or equivalent combination of education, training, and experience
• Three or more years of experience in a managed care claims environment
• Strong working knowledge of medical terminology, CPT4, HCPCS, ICD10 coding sets, and HIPAA regulations
• Ability to maintain production levels and quality goals
• Pre-employment background check required