Senior Claims Processing Lead

NHS Group; El Paso (TX); On-site; USD 52,000 - 70,000; Full time

Job summary

Assured Benefits Administrators, Inc. (ABA) in El Paso, TX, seeks a Processing Team Lead to oversee the daily Claims Processing operations, ensuring KPI targets, quality standards, and timely adjudication.

You will coach processors, monitor workflow, and collaborate with Plan Builders and the CSS Team Lead to improve performance and resolve processing challenges. This role emphasizes inventory control, backlog reduction, and adherence to plan provisions.

Qualifications

• 3+ years of progressive experience in healthcare, insurance, client services, claims operations, or related field.
• Supervisory or team lead experience preferred.

Responsibilities

• Monitor and manage team performance against KPIs, productivity goals, quality standards, and turnaround time expectations.
• Oversee inventory management, backlog reduction, and aging claim performance to ensure timely processing.
• Provide day-to-day leadership, training, coaching, and guidance to Claims Processors.
• Generate and analyze claims processing, inventory, productivity, quality, and auto-adjudication reports for management.

Skills

Leadership

Claims processing

Data analysis

Communication skills

Time management

Education

Associate's or Bachelor's degree preferred

Tools

Excel

Reporting tools

Microsoft Office

Job description

Assured Benefits Administrators, Inc. (ABA) in El Paso, TX, seeks a Processing Team Lead to oversee the daily Claims Processing operations, ensuring KPI targets, quality standards, and timely adjudication.

You will coach processors, monitor workflow, and collaborate with Plan Builders and the CSS Team Lead to improve performance and resolve processing challenges. This role emphasizes inventory control, backlog reduction, and adherence to plan provisions.