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Team Leader - Insurance at Afni, Inc.

Quezon City, Metro Manila, Philippines -

Full Time

Start Date

Immediate

Expiry Date

22 Jun, 26

Salary

0.0

Posted On

24 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Leadership, Interpersonal Skills, Communication, Analytical Thinking, Problem-Solving, Ms Office, Workflow Management Tools, Time Management, Prioritization, Medical Bill Review, Claims Processing, Coaching, Mentoring, Auditing, Quality Checks

Industry

Outsourcing and Offshoring Consulting

Description

Position Purpose: The Team Lead is responsible for leading and supporting claims representatives in the accurate and efficient review of medical bills related to auto insurance claims. This role ensures adherence to standards, regulatory requirements, and best practices in medical bill processing. Process Coach provides ongoing training, performance feedback, and process improvement guidance to enhance team effectiveness and customer satisfaction. Essential Functions and Responsibilities: 1. Coach and mentor claims representatives on medical bill review procedures, documentation standards, and compliance requirements 2. Monitor team performance and provide actionable feedback to improve accuracy, timeliness, and service quality 3. Conduct audits and quality checks on processed claims to ensure consistency and adherence to policy 4. Collaborate with leadership to identify process gaps and implement improvements 5. Serve as a subject matter expert on medical bill review protocols and state-specific requirements (e.g., PIP, MedPay) 6. Support escalated claim resolution and provider communication when needed 7. Track performance metrics and contribute to reporting and analysis for operational insights. Qualifications Minimum Job Requirements (Experience, Skills): * Education: At least 2yrs of college * Experience: Minimum 1 year in a supervisory or team lead role, preferably in Health and P&C insurance in data Capture Program * Skills: 1. Strong leadership and interpersonal skills 2. Excellent verbal and written communication 3. Analytical thinking and problem-solving 4. Proficiency in MS Office and workflow management tools 5. Ability to manage time and prioritize tasks effectively

Responsibilities

The Team Lead is responsible for leading and supporting claims representatives in the accurate and efficient review of medical bills related to auto insurance claims, ensuring adherence to standards and regulatory requirements. This role involves coaching, performance feedback, process improvement guidance, and serving as a subject matter expert on medical bill review protocols.