Team Lead - Healthcare Claims Operations

Carelon Global Solutions; Gurugram District; On-site; INR 1,800,000 - 2,500,000; Full time

Job summary

Carelon Global Solutions India is seeking a highly experienced Team Lead Claims to manage a 18-20 member operations team in Gurugram. The role focuses on achieving performance targets, coordinating with onshore/offshore stakeholders, and ensuring quality service delivery aligned with SLA commitments.

The incumbent will report to the Assistant Manager BPM and oversee business delivery, process improvements, and performance reporting while mentoring the team for continuous growth.

Qualifications

• US healthcare experience with 8+ years in claims.
• Strong written, oral, and interpersonal communication.
• Analytical and organizational abilities.
• Proficient in MS Office and data tools.

Responsibilities

• Lead a team of 18-20 members and ensure service targets.
• Manage relationships with stakeholders and report status to business leaders.
• Drive plans to achieve SLAs and metrics.
• Maintain daily huddles, knowledge management and cross-training.

Skills

Elevance claims

People manager

Business operations

Claims health benefits

Education

Bachelor’s degree

Master’s degree

Job description

US Healthcare - Team Lead Claims - BF - 29099-57623 - JR204447

Position Title: US Healthcare - Team Lead Claims - BF - 29099-57623 - JR204447

Job Family: CLM > Claims Support

Shift: Job Description:

Job Title Team Lead Claims

Requirement Type Full-Time Employee

Job Location Gurugram

Job Level Lead

Hiring Manager Assistant Manager BPM

Primary Skill Strong Elevance claims knowledge, People’s Manager, Business Operations, Claims Business Health Benefits Operations Claims Individual Contributor / People Manager People Manager

ABOUT ELEVANCE HEALTH

Elevance Health is a leading health company in America dedicated to improving lives and communities and making healthcare simpler. It is the largest managed health care company in the Blue Cross Blue Shield (BCBS) Association serving more than 112 million individuals across 14 states. A regular in Fortune 500 list, Elevance Health ranked 18 in 2026. Gail Boudreaux , President and CEO of Elevance Health has been a consistent name in the Fortune list of most powerful women and currently holds 81st rank on this list.

ABOUT CARELON GLOBAL SOLUTIONS

Carelon Global Solutions (CGS) is a healthcare solutions company simplifying complex operational processes to improve the health of the healthcare system. Previously known as Legato Health Technologies, Carelon Global Solutions (hereinafter, CGS) underwent a name change and joined the Carelon family of brands in January 2023, as a fully owned subsidiary of Elevance Health (Previously Anthem Inc.). CGS brings together a global team of like-minded innovators who manage and optimize operational processes for health plans as well as providers. Our brightest minds housed across our global headquarters in Indianapolis as well as Bengaluru, Hyderabad and Gurugram in India, Manila in the Philippines, and San Juan in Puerto Rico bring with them innovative capabilities and an unmatched depth of experience. This global team uniquely positions CGS to enable scalable, next-generation platforms and specialized digital tools that make healthcare operations more practical, effective, and efficient.

OUR MISSION & VALUES

Our Mission: Improving Lives and Communities. Simplifying Healthcare. Expecting More. Our Values: Leadership | Community | Integrity | Agility | Diversity

JOB PURPOSE

Carelon Global Solutions India is seeking a highly creative and meticulous Team Lead, who will be responsible for all business delivery & performance as per set SLA parameters. The incumbent will report to Associate Manager – Business operations and must understand the business delivery, metrics with multiple stakeholders; brief and deliver all in-house process delivery & requirements, apart from coordinating with onshore partners as and when required.

JOB RESPONSIBILITY

Business/Process: Team Leader leads a team of a team size 18-20 members and ensures that daily service delivery targets are met/exceeded. Individuals in this position coordinate and manage relationships by building a successful interface between the process team and internal/external stakeholders. Share status reports with business leaders for review on a periodic basis. Ensure successful execution of the plans & strategies as laid out by management time to time. Clear understanding of National Program Scorecard Drive team to achieve process Service Level Agreements / metrics i.e. productivity and quality target within the established timelines Maintain operations rigor around daily huddles, visual, knowledge management, cross training etc. Identify opportunity areas for improvement in quality & productivity Ensure optimum resource utilization through cross training initiatives and buffer management Engage with other processes to understand and implement best practices. People / Team Ensure adherence to engagement plans for team members Manage attrition and absenteeism and maintain EWS (Early warning system) for the team for tracking and proactively addressing people issues Identify & groom high potential team members for the next level Conduct performance appraisals for team members Follow the performance management grid & take immediate steps for any variance Ensure performance report (presentation/visual boards) is shared with team on a regular basis

QUALIFICATION

Bachelor’s or Master’s degree

EXPERIENCE

US health care experience 8+ years of overall experience. Provider and payer side would be an added advantage. Strong written, oral, and interpersonal communication skills required. Strong analytical and organizational ability required. Strong PC skills required

SKILLS AND COMPETENCIES

Flexible to work in any shift. Proficient in MS office - Excel Excellent communication skills - Verbal and Written Organizational and time-management skills Decision-making skills Excellent Work ethics Stakeholder Management and Interaction Analytics & Reporting Performance Management Mentoring Delivery Management

THE CARELON PROMISE

Aligning with our brand belief of ‘limitless minds are our biggest asset’, we offer a world of limitless opportunities to our associates. It is our strong belief that one is committed to a role when it is not just what the role entails, but also what lies in its periphery that completes the value circle for an associate. This world of limitless opportunities thrives in an environment that fosters growth and well-being, and gives you purpose and the feeling of belonging.

LIFE @ CARELON

Extensive focus on learning and development An inspiring culture built on innovation, creativity, and freedom. Holistic well-being Our culture and initiatives are underpinned by diversity, equity and inclusion Varied opportunities for rewards and recognitions Competitive health and medical insurance coverage Best-in-class amenities and workspaces Policies designed with associates at the center.

EQUAL OPPORTUNITY EMPLOYER

Carelon Global Solutions is committed to a diverse and inclusive workplace and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Reasonable Accommodation

Our inclusive culture empowers Carelon Global Solutions to deliver the best results for our customers. We not only celebrate the diversity of our workforce, but we also celebrate the diverse ways we work. If you have a disability and need accommodation such as an interpreter or a different interview format, please ask for the Reasonable Accommodation Request Form.

Disclaimer

Offered designation titles differ* Job Type: Full time Experience Level Senior Level