Healthcare Claims Team Lead — Lead, Coach & Optimize Ops

Cognizant; Phoenix (AZ); On-site; USD 60,000 - 67,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Paid holidays

Paid Time Off

401(k) plan

Disability (Long-term/Short-term)

Parental Leave

Employee Stock Purchase Plan

Job summary

Cognizant in Phoenix, AZ seeks a Claims Team Lead to oversee daily claims operations, support processors/adjusters, and ensure productivity and quality goals are met. You will coach, review workloads, drive process improvements, and ensure compliance with client policies and regulatory requirements while fostering team development.

This role also handles escalations, supports audits, and prepares performance reports for leadership.

Qualifications

• High School Diploma or equivalent required.
• Healthcare claims processing experience (Commercial, Medicare, Medicaid, or related lines).
• Experience with claims platforms: Facets.
• Strong knowledge of claim adjudication, adjustments, appeals, and regulatory requirements.
• Previous lead, mentoring, or supervisory experience preferred.

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

Leadership

Team leadership

Coaching/Mentoring

Analytical skills

Communication skills

Problem solving

Excel

MS Office

Education

High School Diploma or equivalent

Tools

Facets

Job description

Cognizant in Phoenix, AZ seeks a Claims Team Lead to oversee daily claims operations, support processors/adjusters, and ensure productivity and quality goals are met. You will coach, review workloads, drive process improvements, and ensure compliance with client policies and regulatory requirements while fostering team development.

This role also handles escalations, supports audits, and prepares performance reports for leadership.