Healthcare Claims Team Lead: Process & People Coach

Cognizant; Denver (CO); 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 in Denver, CO is seeking a Claims Team Lead to oversee daily claims operations and mentor a team of processors and adjusters. You will monitor performance against SLAs, coach staff, and drive process improvements while ensuring compliance with policies and regulatory requirements.

This leadership role requires strong analytical and communication skills, experience with Facets, and a commitment to quality.

Qualifications

• Leadership and coaching of a claims team
• Monitoring performance against SLAs and quality metrics
• Ensuring regulatory and client policy compliance

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 management

Analytical skills

Communication skills

Problem solving

MS Excel

Claims adjudication knowledge

Regulatory knowledge

Education

High School Diploma or equivalent

Tools

Facets

Job description

Cognizant in Denver, CO is seeking a Claims Team Lead to oversee daily claims operations and mentor a team of processors and adjusters. You will monitor performance against SLAs, coach staff, and drive process improvements while ensuring compliance with policies and regulatory requirements.

This leadership role requires strong analytical and communication skills, experience with Facets, and a commitment to quality.