Claims Technical Lead

Job Summary

A company is looking for a Claims Technical Lead.

Key Responsibilities

• Act as the main point of contact for claims inquiries and mentor new hires
• Conduct manager reviews and audits of claims to ensure quality and provide coaching to case managers
• Monitor KPIs and adjust workload balancing for case managers while supporting management in team meetings

Required Qualifications

• Bachelor's Degree in business, management, or a related field
• 4 or more years of job-related experience
• 2 years of STD/LTD case management experience
• Strong understanding of contracts, plans, and products
• Experience in managing complex cases and customer escalations