TL -Claim Adjudication

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