Claims Operations Team Leader

Job Summary

A company is looking for a Claims Operations Team Leader.

Key Responsibilities:

• Oversee claims adjudication and assist in the absence of the Claims Supervisor
• Mentor and coach Claims Operations staff to enhance service quality
• Serve 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
• Six or more years of experience in a managed care claims environment
• Pre-employment background check required
• Strong working knowledge of medical terminology and coding sets
• Ability to maintain production and quality goals