Clinical Claims Team Lead — USRN Expert

Sutherland Company

Taguig

On-site

PHP 1,339,000 - 1,674,000

Full time

2 days ago

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Job summary

Sutherland in the Philippines is seeking a Team Manager to lead USRN Clinical Claims Associates supporting Accident & Occupational (AO) Clinical Claims operations. The role drives operational excellence by ensuring client metrics, quality, service levels, and compliance while engaging employees in a high-performance environment.

The Team Manager will coach, guide, and provide day-to-day leadership to ensure accurate claims processing and exceptional customer outcomes, adhering to regulatory and

Qualifications

Active US Registered Nurse (USRN) license
Bachelor's Degree in Nursing (BSN) or equivalent nursing qualification
3–5 years of clinical nursing experience in healthcare settings
2 years of people management experience in healthcare operations or claims
Strong English communication, analytical, coaching and stakeholder management skills

Responsibilities

Manage the daily operations of assigned clinical claims teams.
Monitor achievement of productivity, quality, accuracy, compliance, and turnaround time targets.
Lead regular performance reviews, coaching sessions, and career development discussions.
Ensure compliance with HIPAA, data privacy, client requirements, and regulatory standards.
Maintain strong client relationships through delivery of commitments.
Identify opportunities to improve workflows and lead change initiatives.

Skills

USRN license

English communication

Analytical skills

Coaching

Stakeholder management

Education

BSN or equivalent nursing qualification

Job description

The Team Manager will coach, guide, and provide day-to-day leadership to ensure accurate claims processing and exceptional customer outcomes, adhering to regulatory and

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