Job Description

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 9087726632 for interview!

Job Types: Full-time, Permanent

Pay: ₹500,000.00 - ₹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