TL -Claim Adjudication

3 days ago

Indore, Madhya Pradesh, India Star Secutech pvt ltd Full time ₹ 5,00,000 - ₹ 6,00,000 per year

Job Title: Team Lead – Claims Adjudication

Location: Indore

Experience: 5–8 years in US Healthcare Claims Adjudication with minimum 2+ years in a Team Lead role

Key Responsibilities:

  • Supervise and manage a team of claims adjudicators ensuring daily targets and quality standards are met.
  • Monitor team performance, allocate workload, and ensure timely processing of claims.
  • Handle escalations and complex claims issues by providing effective resolutions.
  • Conduct regular audits to ensure compliance with client SLAs and regulatory guidelines.
  • Prepare and share daily/weekly/monthly reports on productivity and quality.
  • Coach, mentor, and train team members to enhance skills and performance.
  • Collaborate with internal departments and clients to streamline processes and address issues.

Required Skills & Qualifications:

  • Bachelor's degree or equivalent.
  • Strong knowledge of US healthcare domain – claims processing and adjudication.
  • Proven experience in leading a team in an international BPO/Healthcare process.
  • Excellent analytical, problem-solving, and decision-making skills.
  • Good communication and stakeholder management skills.
  • Proficiency in MS Office (Excel, PowerPoint, Word).
  • Ability to work in night shifts/US shifts if required.

Preferred:

  • Certification in healthcare claims processing or medical billing.
  • Experience in handling client calls and performance reviews.

Salary: Best in industry (based on experience)

Mode of Work: WFO

Interested can call or whatsapp to for interview

Job Types: Full-time, Permanent

Pay: ₹500, ₹600,000.00 per year

Benefits:

  • Health insurance
  • Leave encashment
  • Life insurance
  • Paid sick time
  • Paid time off
  • Provident Fund

Education:

  • Bachelor's (Required)

Experience:

  • US Healthcare: 5 years (Required)

Application Deadline: 04/10/2025

Expected Start Date: 06/10/2025

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