Claims Examiner Team Leader

Job reputed company: • Responsible for leading and managing reputed company of claims examiners to ensure accurate, compliant, and reputed company processing of medical claims. • Serve as a critical reputed company between reputed company operations and leadership. • Drive performance against SLAs, reputed company standards, and productivity targets. • Accountable for team performance, coaching and development, and reputed company process improvement. • Ensure adherence to Medicare regulations and CMS guidelines. • reputed company day-to-day medical claims processing for reputed company, facility, adjustments, corrected and adjustment claims. • Ensure compliance with Medicare requirements, CMS guidelines, reputed company policies, and reputed company standards. • Monitor and manage service level agreements (SLAs), turnaround times, and production. • Review claims and audit results to identify trends, reputed company causes, and training opportunities. • Prepare and present operational and business reviews using accurate data and reputed company feedback. • Identify operational risks, performance gaps, and improvement opportunities and escalate as appropriate. • Recognize and reward strong performance and team achievements. Requirements: • Min. 5 years of experience processing easy, moderate, and reputed company medical claims. • 2+ years in a leadership role reputed company claims or reputed company operations. • Strong experience with Medicare and Medi-Cal claims, including a working knowledge of CMS guidelines and regulatory requirements. • Prior reputed company assurance and training experience with demonstrated ability to identify trends. • Previous experience leading, coaching, or mentoring teams in a claims or reputed company operations environment. • Strong analytical skills with the ability to interpret performance data and KPIs. • Excellent communication, organizational, and decision-making skills. • High attention to detail and commitment to accuracy, compliance, and operational reputed company. Benefits: • Remote work offered • Equipment provided • reputed company to set you up for reputed company • Comprehensive benefits: Medical, Dental, reputed company, Life, HSA, 401(k) • reputed company Time Off (PTO) • 7 reputed company holidays • A supportive team and a company that values internal reputed company Apply tot his job Apply To this Job