Healthcare Claims Team Lead — Coaching & Compliance

Cognizant; Santa Fe (NM); On-site; USD 60,000 - 67,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays plus Paid Time Off

401(k) plan and contributions

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Job summary

Cognizant is seeking a Claims Team Lead in the United States to oversee daily claims operations and support a team of processors/adjusters. The role ensures productivity, quality, and compliance with client, regulatory, and internal requirements.

You will coach, mentor, and develop staff, allocate workload to meet SLAs, and drive process improvements. Strong analytical and communication skills are essential.

Qualifications

• Has lead or supervisory experience
• Experience in healthcare claims processing
• Knowledge of claim adjudication, adjustments, and appeals
• Familiarity with regulatory requirements
• Proficiency with Microsoft Excel
• Experience with team coaching and performance discussions
• Ability to manage workload and meet SLAs

Responsibilities

• Provide day-to-day leadership and support to claims associates.
• Monitor productivity, quality, accuracy, and turnaround time performance.
• Conduct coaching, training, and performance discussions.
• Review inventories and allocate workload to meet SLAs.
• Identify process improvement and automation opportunities.
• Ensure adherence to client policies, CMS/regulatory requirements, and internal procedures.
• Handle escalated claims and operational issues.
• Support audits, quality reviews, and corrective action plans.
• Prepare operational reports and communicate performance results to leadership.
• Partner with training, quality, and client teams to drive improvements.

Skills

Claims leadership

Team building

Analytical skills

Communication skills

Microsoft Excel

Experience with Facets

Regulatory knowledge

Education

High School Diploma or equivalent

Tools

Facets

Job description

Cognizant is seeking a Claims Team Lead in the United States to oversee daily claims operations and support a team of processors/adjusters. The role ensures productivity, quality, and compliance with client, regulatory, and internal requirements.

You will coach, mentor, and develop staff, allocate workload to meet SLAs, and drive process improvements. Strong analytical and communication skills are essential.