Remote Claims Verification Lead – Quality & Compliance

TopDog Law LLC; United States; Remote; USD 64,000 - 92,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with company match

Paid time off

Parental leave

Remote work environment

Job summary

TopDog Law LLC is a fully remote, national personal injury firm redefining client experience. The Claims Verification Supervisor leads a verification team, upholds accuracy, and drives process improvements across review workflows.

You will coach staff, manage workload to meet turnaround times, audit claims for quality, and collaborate with billing, underwriting, compliance, and legal teams to reduce errors and ensure regulatory compliance.

Qualifications

• 3-5 years of claims processing or verification experience.
• 1-2 years of supervisory or lead experience in a claims or operations environment.
• Strong understanding of claims adjudication, documentation standards, and regulatory compliance.

Responsibilities

• Supervise, coach, and evaluate claims verification specialists.
• Manage workload distribution to meet turnaround time (TAT) standards.
• Lead onboarding and ongoing training on claims procedures and compliance.
• Audit completed claims to identify errors and training opportunities.
• Serve as escalation point for complex or high-value claims.
• Enforce verification standards and internal controls to minimize fraud, waste, and abuse.
• Track KPIs including accuracy rates, TAT, denial rates, and productivity.
• Identify workflow inefficiencies and implement improvements.
• Report team performance and claim outcomes to senior management.
• Ensure documentation accuracy and compliance with regulatory requirements.
• Stay current on payer rule changes and industry best practices.
• Partner cross-functionally with billing, underwriting, compliance, and legal teams.

Skills

Claims processing

Supervisory experience

Regulatory compliance

Claims systems

MS Office

Data analysis

Communication

Education

Bachelor's degree in related field

Tools

Microsoft Office Suite

Claims management systems

Job description

TopDog Law LLC is a fully remote, national personal injury firm redefining client experience. The Claims Verification Supervisor leads a verification team, upholds accuracy, and drives process improvements across review workflows.

You will coach staff, manage workload to meet turnaround times, audit claims for quality, and collaborate with billing, underwriting, compliance, and legal teams to reduce errors and ensure regulatory compliance.