VirtualVocations

Compensation

Full Description

A company is looking for a Claims Examiner Team Leader to manage a team of claims examiners in processing medical claims. Key Responsibilities Lead and supervise a team of 15-20+ claims examiners, providing coaching and performance evaluations Oversee daily medical claims processing, ensuring compliance with Medicare and CMS guidelines Analyze performance metrics and implement process improvements to enhance accuracy and efficiency Required Qualifications Minimum 5 years of experience in processing medical claims At least 2 years in a leadership role within claims or healthcare operations Strong knowledge of Medicare and Medi-Cal claims and CMS regulations Experience in quality assurance and training with the ability to identify trends Strong analytical skills to interpret performance data and KPIs