Team Leader Claim Adjudication

<h4>Job Description</h4>LEVEL UP STC is looking for a Team Leader Claim Adjudication for our client. Job Title: Team Leader Claim Adjudication Location: Chennai Job Type: Full-Time Time: Any Shift to be Convenient Salary: Based on Last Drawn Interview Mode: Walk-in Experience: 5 to 6 Years Notice: 15 to 20 Days As a Team Leader in Claim Adjudication, your primary responsibilities will include overseeing and managing the daily operations of the claims processing team. This involves supervising a team of claims adjudicators, ensuring timely and accurate processing of claims, and maintaining a high standard of quality and compliance with relevant regulations. Key duties and qualifications for this role include: Responsibilities: Supervision and Leadership: Lead and manage a team of claims adjudicators, providing guidance, support, and training as needed. Foster a positive and collaborative team environment to optimize productivity and efficiency. Claims Processing Oversight: Oversee the. daily processing of claims, ensuring accuracy and adherence to established guidelines. Monitor workflow queues to prioritize tasks and manage inventory effectively. Compliance: Ensure compliance with all relevant regulatory requirements, with a particular focus on meeting Centers for Medicare and Medicaid Services (CMS) guidelines. Stay updated on industry regulations and communicate changes to the team. Quality Assurance: Implement and enforce quality assurance measures to maintain high standards in claims processing. Conduct regular audits to identify and address areas for improvement. Performance Metrics: Monitor key performance indicators (KPIs) and metrics to assess team and individual performance. Implement strategies for continuous improvement and achievement of performance targets. Communication: Collaborate with other departments and stakeholders to address issues, share information, and optimize processes. Communicate effectively with team members and provide regular feedback. Qualifications: Bachelor's degree in a related field or equivalent work experience. Proven experience in claims adjudication or a similar role within the healthcare industry. Strong leadership and team management skills. In-depth knowledge of CMS guidelines and other relevant regulations. Excellent analytical and problem-solving abilities. Effective communication and interpersonal skills. Detail-oriented with a focus on accuracy and quality. This job description is designed to outline the general nature and level of work being performed by individuals assigned to this position. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Job Type: Full-time Salary: 400,000.00 - 700,000.00 per year Schedule: US shift Experience: Team Leader in Claim Adjudication: 4 years (Required) Work Location: In person<h4>Employement Category:</h4><b>Employement Type: </b>Full time</br><b>Industry: </b>Others </br><b>Role Category: </b>Operations Management / Process AnalysisCustomer Service (Domestic) </br><b>Functional Area: </b>Not Applicable</br><b>Role/Responsibilies: </b>Team Leader Claim Adjudication