Claims Team Lead I
Core
Lead a team of 12-15 claims examiners and adjusters to deliver high-quality claims operations, meet service level agreements, and drive operational excellence for health insurance clients.
Role type
Senior IC claims team lead
Builds
Claims processing operations and team performance
Domain
Health insurance / Claims management
Required skills
Healthcare claims processing, Team leadership, Client guideline adherence, Productivity target management, Financial accuracy standards, Process documentation, Training delivery, Quality audits, Surge activity management, Provider data handling, Authorization management, Enrolment management, Medical terminology, ICD-10, CPT-4, HCPCS coding, Physician billing knowledge, Hospital coding knowledge
Preferred skills
ICD-10, CPT, HCPCS coding expertise, Microsoft Excel proficiency, Adaptability to fast-paced environments, Coaching ability, Independent work capability
Responsibilities
Manage staff of 12-15 associates, Monitor downline staff productivity and accuracy, Collaborate on special projects (process docs, training, audits), Establish communication with management, Assemble and assign projects (provider data, authorizations, enrolment), Perform assigned duties
Seniority
Senior, hands-on IC