Claims Team Lead

Job Summary

A company is looking for a Claims Team Lead to manage a team of claims examiners, interact with clients, and ensure high-quality claims operations.

Key Responsibilities:

• Manage a team of 12-15 claims examiners and adjusters
• Interact with client organizations to run a high-quality claims operation
• Implement daily operations governance process to meet targets and SLAs

Required Qualifications:

• 5-7+ years of claims operation experience, with 2+ years in a supervisory role
• 3 years of Medicare Advantage claims processing experience
• Healthcare knowledge including medical coding, transcription, and billing practices
• Experience in outsourcing operations or the service industry preferred
• High proficiency in MS Excel, Word, and PowerPoint