TL -Claim Adjudication
3 days ago
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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