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BO-203-1351-GR-Team Lead Claims (IND)

  • TG, Hyderabad
  • CLM > Claims Support
  • Full time
  • Added
  • JR21169



Primary Duties:

  • Create an inspiring team environment with an open communication culture
  • Driving productivity goals set for project with defined quality metrics achieved 
  • Delegate tasks and set deadlines
  • Oversee day-to-day operation
  • Monitor team performance and report on metrics
  • Motivate team members
  • Discover training needs and provide coaching
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports
  • Listen to team members’ feedback and resolve any issues or conflicts
  • Handling calibration calls across Vendors/ Anthem support 
  • Leading weekly calls with the Business stakeholders 
  • Recognize high performance and reward accomplishments
  • Encourage creativity and risk-taking
  • Heavy involvement in people management and engagement activities 
  • Ideation and process  improvement initiatives 
  • Being an ambassador of company norms and policies  Be a liaison between management & team , Communicate difficult message with grace"

Secondary Duties:

  • Performs audits to monitor efficiency and compliance with policies
  • Provides quality control services by monitoring work results of direct reports
  • Identifying trends in team members in terms of performance and behavior and take initiatives to groom and mentor them to the next level 
  • Adhering to the communication framework between Management and team members thereby ensuring that everyone contributes to a shared vision 
  • Participate in organization level activities.
  • Coordinate with other departments for value added initiatives.
  • Training as per business requirement.
  • Adhoc tasks as per business requirements.
  • Candidate would be subject to routine business screening. Work under min supervision


  • Flexible to work in any shift
  • Strong people management capability and analytical thought process
  • Proficient in MS office - Excel and PowerPoint
  • Excellent communication skills - Verbal and Written
  • Proven work experience as a team leader or supervisor
  • In-depth knowledge of performance metrics
  • Organizational and time-management skills
  • Decision-making skills
  • Excellent Work ethics
  • Team Management
  • Conflict Management
  • Stakeholder Management and Interaction
  • Emotional Intelligence
  • Analytics & Reporting
  • Performance Management
  • Coaching & Mentoring
  • Delivery Management
  • Implemented fast-track and Best in class Claims pratices toreduce Rework
  • Strong understanding of Interest payment and different teams levers/improvement opportunities
  • Experience of working with Upstream/downstream processes for enhanced performance
  • Understanding Adjutement Reason codes and value driven preposition
  • Handled 1 project in last 12 months with quantified benefit (>5 FTEs)"

Education: Graduation


  • 7+ years of experience, with 3+ yrs. supervisor/ leadership role in Claims Rework (Correspondence, Adjustments of original Incorrect claims processing, Recovery, Dispute resolution)
  • Healthcare experience

Certifications: AHM250 / Any certification from AAHM / Six Sigma GB certification
Skills & Competencies: Claims knowledge/ Claims adjudication process

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