Claims Operations Manager

1 day ago

Hyderabad Secunderabad Telangana, India beBeeLeadership Full time ₹ 15,00,000 - ₹ 28,00,000
Job Description

The role of a Team Lead involves overseeing the performance of a team and ensuring that all tasks are completed efficiently. The ideal candidate will have excellent leadership skills, be able to manage processes and workflows, and possess strong people management skills.

  • Key Responsibilities:
  • In-depth knowledge of US Health Care Payer Systems is essential for this role.
  • A minimum of 4-10 years of experience in Claims Adjudication is required, with over 1 year of experience as a Team Leader.
  • The successful candidate will have a proven track record of managing processes, streamlining workflows, and motivating team members towards desired project goals.
  • They will be responsible for circulating quality dashboards at agreed periodic intervals to all relevant stakeholders.
  • The candidate must adhere to various regulatory and compliance practices.
  • Maintaining and owning reports both internally and for clients is also a key aspect of this role.
  • The Team Lead will present data and provide deep insights about the process to clients and internal management.
  • Managing and coordinating training programs is another crucial responsibility.
  • The candidate will be expected to provide coaching and feedback to the team.
  • Taking necessary HR actions as part of the Performance Improvement Process is also a requirement.

Key Performance Indicators:

  • Ensuring that key Service Level Agreements are met consistently without any exceptions.
  • Leveraging all operational metrics to ensure that revenue and profitability targets are met and exceeded.
  • Working in tandem with all business functions to ensure smooth business processes.
  • Retention of key team members is also a key priority.

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