Remote Claims Team Lead: Drive Efficiency & Growth

CROWN ADMINISTRATORS; Oregon; Híbrido; USD 65.000 - 90.000; Tempo integral

Benefícios oferecidos por esta vaga

Competitive salary and benefits

Remote work flexibility

Dynamic and innovative work culture

Growth and development opportunities

Resumo da vaga

Health Admins is seeking a Claims Team Lead to guide a team of 4-7 Claims Processors and Senior Processors, driving timely, accurate claims handling and continuous improvement. The role combines hands-on processing with leadership duties and KPI tracking.

You will mentor staff, coordinate with management, and ensure compliance while supporting a remote work environment and strong customer service focus.

Qualificações

• Bachelor's degree or equivalent in a related field.
• 2-3 years of experience in healthcare, claims processing, or a related field, including 1-2 years of leadership experience.
• Experience with CRM systems, such as Salesforce, is a plus.

Responsabilidades

• Lead a team of 4-7 Claims Processors and Senior Claims Processors, providing ongoing support and guidance.
• Oversee daily claims processing tasks, ensuring timely and accurate handling of member claims and processing payments.
• Serve as primary contact for escalated issues, resolving disputes with members and providers.
• Assist in training new and junior staff, providing coaching and feedback.
• Monitor department performance, track KPIs, and implement process improvements.
• Coordinate with other departments to enhance the claims experience for members.
• Identify inefficiencies and recommend automation or system enhancements.
• Maintain accurate member records and conduct periodic audits.

Conhecimentos

Leadership

Medical terminology

Claims processing

CRM systems

Communication

Attention to detail

Formação

Bachelor's degree or equivalent

Healthcare/claims experience 2-3 years

Leadership experience 1-2 years

Ferramentas

Salesforce

CRM systems

Google Suite

Descrição da vaga

Health Admins is seeking a Claims Team Lead to guide a team of 4-7 Claims Processors and Senior Processors, driving timely, accurate claims handling and continuous improvement. The role combines hands-on processing with leadership duties and KPI tracking.

You will mentor staff, coordinate with management, and ensure compliance while supporting a remote work environment and strong customer service focus.