DESCRIPTION:
The Team Leader will be responsible for managing the day-to-day operations of the Investor Claims Process, including claim preparation, review, submission, follow-up, and resolution. The role requires strong knowledge of mortgage investor claim processes, including FHA, VA, and Fannie Mae guidelines , along with experience in claim intake, referrals, reporting, and exception management.
The Team Leader will lead a team of processors, ensure adherence to investor and client guidelines, monitor SLA and quality performance, manage escalations, and drive process improvements.
1. Investor Claims Process Management
Key Responsibilities
- Manage the end-to-end Investor Claims Process, ensuring claims are accurately reviewed, prepared, submitted, and resolved within defined SLAs/TATs.
- Should have strong working knowledge of FHA, VA, and Fannie Mae investor claim processes and guidelines.
- Ensure the team understands and follows applicable investor requirements, timelines, documentation, and claim eligibility criteria.
- Review claims for completeness, accuracy, and compliance with investor requirements before submission.
- Handle complex claims, exceptions, discrepancies, and rejected/returned claims.
- Monitor claim status and ensure timely follow-up on pending claims and outstanding requirements.
- Identify potential claim losses, discrepancies, and process gaps and take appropriate corrective action.
- Ensure proper documentation and audit trails are maintained for all claims.
2. FHA / VA / Fannie Mae Knowledge
- Good understanding of FHA claim requirements and processes, including claim documentation, timelines, adjustments, and follow-up.
- Working knowledge of VA claims processing requirements, documentation, and submission/follow‑up activities.
- Knowledge of Fannie Mae investor requirements and claim-related processes.
- Ability to interpret investor guidelines and communicate process changes to the team.
- Stay updated on changes to investor guidelines and ensure timely implementation within the process.
- Support the team in resolving investor‑specific exceptions and escalations.
3. Intake & Referral Management
- Manage and oversee the claim intake process, ensuring referrals are received, reviewed, categorized, and assigned appropriately.
- Ensure all required information and documentation are available during intake.
- Review referrals for completeness, eligibility, priority, and appropriate workflow routing.
- Monitor referral queues and ensure timely action based on defined SLA/TAT.
- Track pending referrals, aging items, and exceptions and ensure timely resolution.
- Coordinate with upstream/downstream teams for missing information, documentation, or clarification.
- Identify recurring referral issues and recommend process improvements.
4. Reports & MIS Management
- Prepare, review, and publish daily, weekly, and monthly operational reports/MIS.
- Monitor key metrics such as:
- Claim intake volumes
- Claims submitted
- Claims paid/approved
- Claims rejected/returned
- Pending claims
- Aging/backlog
- Referral volumes
- SLA/TAT adherence
- Productivity
- Quality/accuracy
- Error and rework percentage
- Analyse trends and provide actionable insights to management.
- Ensure reports are accurate and delivered within defined timelines.
- Develop and maintain trackers/dashboards for claims, referrals, aging, and team performance.
- Highlight risks, bottlenecks, and performance gaps to management.
5. Team Leadership & People Management
- Lead, motivate, and manage a team of Investor Claims Processors.
- Allocate work based on volumes, priorities, complexity, and available resources.
- Monitor daily productivity, quality, attendance, and SLA performance.
- Conduct regular team huddles, one‑on‑one discussions, coaching, and feedback sessions.
- Identify knowledge gaps and coordinate training/refresher sessions.
- Support new‑hire training and process certification.
- Manage team performance and implement action plans for underperforming employees.
- Build a strong culture of accountability, quality, and continuous improvement.
6. Quality & Compliance
- Conduct regular quality checks on claims and related transactions.
- Ensure adherence to investor guidelines, client procedures, SOPs, and internal controls.
- Monitor processing errors, claim rejections, financial discrepancies, and rework.
- Perform root‑cause analysis on quality issues and implement preventive actions.
- Ensure sensitive borrower/investor information is handled securely and appropriately.
- Support internal and client audits by providing required documentation and process information.
7. Escalation & Stakeholder Management
- Act as the first‑level escalation point for complex investor claims, referrals, and operational issues.
- Resolve process‑related issues by coordinating with relevant internal teams.
- Work closely with Quality, Training, Compliance, Technology, Reporting/MIS, and other operational teams.
- Communicate effectively with management and stakeholders regarding operational performance, risks, and escalations.
- Ensure timely resolution and closure of escalated items.
8. Process Improvement
- Identify opportunities to improve claim processing accuracy, turnaround time, and productivity.
- Analyse recurring claim rejection, referral, and exception trends.
- Recommend process improvements to reduce errors, rework, backlog, and financial impact.
- Participate in process transitions, system enhancements, UAT, and automation initiatives.
- Maintain updated SOPs, process documentation, and knowledge materials.
QUALIFICATIONS
- Bachelor’s degree in finance, Commerce, Business Administration, or a related field preferred.
- 6–10 years of experience in Mortgage Operations, Investor Claims, Default Management, Loss Mitigation, or related mortgage servicing processes.
- 2–3+ years of Team Lead/Supervisory experience preferred.
- Prior experience handling FHA, VA, and Fannie Mae processes is required/preferred.
- Experience in claim intake, referrals, reporting/MIS, and exception management is highly preferred.
- Experience managing a high‑volume, SLA‑driven mortgage operations team will be an advantage.
OTHER DUTIES
Please note, this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.