Senior Claims Team Lead - Managed Care

Conifer Health Solutions; Frisco (TX); On-site; USD 47,000 - 70,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401k with employer match

Paid time off

Job summary

Conifer Health Solutions in Frisco, TX is seeking a supervisor to lead a team of claims personnel and optimize claims operations across multiple companies. You will oversee inventory management, ensure adherence to state and federal guidelines, and partner with other departments to resolve issues.

The role requires strong knowledge of health and managed care concepts, with experience in supervising staff and delivering performance reviews.

Qualifications

• High School Diploma or Equivalent.
• 2-3 years claims experience in a managed care environment preferred.
• 5-6 years Supervisory/Management experience preferred.
• Must have an excellent understanding of health and managed care concepts and their application in the adjudication of claims.

Responsibilities

• Supervise a team of claims personnel.
• Manage claims inventory for multiple companies according to state and federal guidelines utilizing inventory management systems and reports.
• Team with other departments to resolve departmental/employee issues.
• Review and update policies and procedures.
• Manage the work behaviors of all subordinate staff. Coach, counsel and reward as appropriate to individual performance. Deliver monthly/annual performance reviews.

Skills

Supervisory experience

Claims knowledge

Team leadership

Education

High School Diploma or Equivalent

Job description

Conifer Health Solutions in Frisco, TX is seeking a supervisor to lead a team of claims personnel and optimize claims operations across multiple companies. You will oversee inventory management, ensure adherence to state and federal guidelines, and partner with other departments to resolve issues.

The role requires strong knowledge of health and managed care concepts, with experience in supervising staff and delivering performance reviews.