Claims Team Lead

Job not on LinkedIn

🔥 31 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟠 Senior

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Dayforce

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

👥 HR Tech

☁️ SaaS

🏢 Enterprise

💰 $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech • SaaS • Enterprise

Dayforce is a cloud-based human capital management (HCM) platform that delivers integrated payroll, HR, workforce management, talent management, and benefits administration for employers. It is offered as a software-as-a-service (SaaS) solution designed to help organizations manage employee lifecycle processes, payroll and scheduling in a unified system.

📋 Description

• A process leader leads, monitors, and administrates a group of employees to achieve goals that contribute to the organization's growth. • Monitoring operational activities of claim examiners to ensure claims are processed accurately and timely. • Provide technical support, expert advice, and coaching assistance to team members and clients. • Identify new opportunities to improve operational effectiveness and customer satisfaction and make recommendations for improvements. • Identify skill gaps and ensure training is provided to further develop staff. • Manage team conflict and any people related issues. • Handle complaints, DOI, Appeal, etc. • Adhere to process reporting, draft process documents, including SOP, Update tracker, issue logs, etc. • Ability to do quality audit for team process. • Ability to speak to client on process related issues and handle client calls.

🎯 Requirements

• One to Two years certificate/degree from college or technical school; or 2-5 years related experience and/or training; or equivalent combination of education and experience. • Must possess advance product knowledge, comprehensive understanding of insurance terminology and definitions, core knowledge of company and department processes and procedures related to the ability to complete job responsibilities /duties in a proficient and professional manner. • Must have knowledge of medical terminology, ability to read and interpret most medical records/notes, ICD-9/10 and CPT/HCPC/CDT coding; Familiarity with different medical claim forms, i.e. HCFA-1500 and UB04 forms; working knowledge of Insurance Industry and/or Healthcare. • Must have the ability to read and interpret documents such as policies and operating and procedural manuals; Ability to write routine correspondence; Ability to speak effectively to customers, clients or employees of the organization.