Team Lead - Claims Adjudication

Roles & Responsibilities :
In-depth Knowledge and Experience in the US Health Care Payer System.
4 - 9 years of experience in  Claims Adjudication . With over 1 year of experience as a  Team leader
Proven track record in managing processes, streamlining workflows and excellent people management skills.
Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals.
Circulate quality dashboards at agreed periodic intervals to all relevant stake holders
Adhering to various regulatory and compliance practices.
Maintaining and Ownership of reports both internal as well as for the clients.
Presenting the data and provide deep insights about the process to the clients as well as Internal Management.
Managing and co- ordinating training programs.
Excellent in Coaching and providing feedback to the team.
Take necessary HR actions as part of the Performance Improvement Process

Key Performance Indicators
Ensuring that the key Service Level Agreements are met consistently without any exceptions.
Leverage all Operational metrices to ensure that the Revenue and Profitability targets are met and exceeded .
Work in tandem with all Business functions to ensure smooth business process.
Retention of key team members