Healthcare Claims Team Lead — Lead, Improve & Deliver

Cognizant; Madison (WI); Vor Ort; USD 60.000 - 67.000; Vollzeit

Benefits dieser Stelle

Medical/Dental/Vision/Life Insurance

Paid holidays + Paid Time Off

401(k) plan and contributions

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Zusammenfassung

Cognizant in Madison, WI is seeking a Claims Team Lead to oversee daily claims operations and support a team of claims processors and adjusters. You will drive productivity, quality, and regulatory compliance while guiding staff development and process improvements.

The role involves coaching, workload management, and collaboration with client teams to meet service levels and drive continuous improvement. Strong leadership and claims experience are essential.

Qualifikationen

• High School Diploma or equivalent is required.
• Healthcare claims processing experience (Commercial, Medicare, Medicaid, or related lines of business).
• Experience with claims platforms: Facets.
• Strong knowledge of claim adjudication, adjustments, appeals, and regulatory requirements.
• Previous lead, mentoring, or supervisory experience preferred.
• Strong analytical, communication, and problem-solving skills.
• Proficiency with Microsoft Office, especially Excel.
• Experience leading a team.

Aufgaben

• 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.

Kenntnisse

Leadership

Team management

Analytical skills

Communication skills

Problem solving

MS Excel

Claim adjudication

Regulatory knowledge

Ausbildung

High School Diploma

Tools

Facets

Jobbeschreibung

Cognizant in Madison, WI is seeking a Claims Team Lead to oversee daily claims operations and support a team of claims processors and adjusters. You will drive productivity, quality, and regulatory compliance while guiding staff development and process improvements.

The role involves coaching, workload management, and collaboration with client teams to meet service levels and drive continuous improvement. Strong leadership and claims experience are essential.