Claims Team Lead: Lead, Optimize & Resolve
Jobtailor
Jobtailor in Austin, TX is seeking a seasoned Claims Processing Lead to supervise a team of 4-7 Processors and Senior Processors, providing guidance on complex or escalated cases and acting as the primary point of contact for escalations. You will oversee daily claims processing, review medical invoices, ensure timely payments, train new staff, track KPIs with management, and collaborate across departments to streamline workflows while maintaining compliance and accurate member records. #J-18808-Ljbffr Jobtailor
$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe... ...Receivables (AR) Team Lead assists with daily... ...and timely processing of claims, including denials and... ...role is responsible for optimizing AR processes and supporting... ...skills. Ability to resolve customer issues calmly...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours- Responsibilities Lead a team of 4-7 Claims Processors and Senior Claims Processors, providing ongoing... ...with members and providers to resolve disputes or sensitive cases. Assist... ...enhancements, or procedural changes to optimize claims processing. Ensure compliance...Claims
$23 - $31 per hour
...ensure member complaints and issues are resolved according to company guidelines,... ...assigned area of responsibility by handling claims and returns, zoning the area,... ...and compliance issues and problems, lead and participate in teams by using and sharing resources, information...ClaimsHourly payMinimum wageFull timeTemporary workPart timeWork at office$24 - $27 per hour
...purpose The Appeals Lead provides advanced oversight... ...underpaid, and denied claims to determine appeal... ...Period Buckets Team and individual productivity... ...front-office teams to resolve systemic denial issues.... ...reviews, and special revenue optimization projects....ClaimsFull timeWork at office- ...WE ARE We are PEAK6, a leading investment firm, using... ...was developed in 1997 to optimize options trading, and... ...across P&C underwriting, claims, distribution, and client... ...data engineering to resolve root causes and improve... ...with data engineering teams. Build and own executive...ClaimsWork experience placementRemote workMonday to Friday2 days per week
$100k - $231.54k
...and one community at a time. Lead Director, Network Activation... ...Lead Director oversees a team of Manager‑level leaders and... ...reducing enrollment‑related claim denials, optimizing group enrollment strategies,... ...root cause analysis efforts to resolve payer enrollment issues...ClaimsHourly payFull timeTemporary workWork at officeLocal areaRemote work- ...Market Sector (“MS”) Leader will lead the development and... ...s marketplace and determining optimal technical strategies needed to... ...Water Business Group Management Team.Work with Regional Business Group... ...quality reviews and resolution of claims.Actively engage in the PARR...ClaimsContract workLocal area
- Sedgwick in Austin, TX seeks an experienced Claims Team Lead for Auto Total Loss to supervise multiple examiners and coordinate cross-functional claims adjudication. You will drive performance, ensure quality, and mentor staff in a fast-paced environment. You’ll review...Claims
- ...talent.Cloud Imperium Games is a leading game development company... ...marketing, development, and support teams to foster meaningful... ...community engagement data to inform optimization and innovation strategies... ...websites, fake email addresses claiming to be from our company, or...ClaimsFull timeLocal areaWorldwideFlexible hoursAfternoon shift
- ...analytics, and automation. Our team of over 975 Life and Annuity... ...growth.You Are:The Integration Lead Architect playing a pivotal role... ..., scalability, performance optimization, and operational support considerations... ..., Billing & Payments, Claims, Illustrations & Quotes, Advisor...ClaimsFull timeWork experience placementLive inWork at officeLocal area
- Overview:As the Senior Manager of Inventory Optimization, you will play a pivotal role in driving... ...strategies while overseeing a team of Inventory Control Analysts. This player... ...engineering change orders (ECOs), oversee claims for cancelled or stranded materials, and...ClaimsTemporary workWork at officeLocal areaWorldwide
- Claims Team Lead, Auto PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical...ClaimsContract workWork at office
- ...the Position: The Shift Lead , Hospitalityoversees... ...and procedures. Embrace, resolve, and see through to resolution... ...and development of the Hotel team to accomplish annual and periodic... ...Profit: Responsible for claims and safety related training and...ClaimsLocal areaRelocation packageShift work
$58.7k - $75k
...for investigating and resolving complex front-end billing issues that impact claim acceptance and reimbursement... ...the vendor operations teams to oversee operations... ...in a timely manner for optimal reimbursement. Tracks... ...ensure goals are met. Leads weekly meetings to review...ClaimsImmediate startWorldwide- Accenture is a leading global professional services company that helps... ...build their digital core, optimize their operations, accelerate revenue... ...with guidance.Manage small teams or work efforts at client... ...remittance, absence and disability claims)3+ years working in agile...ClaimsFull timeLive inWork at officeLocal area
- ...construction law firm, seeks a full-time Lead Construction Litigation... ...to work well with others in a team environment, and high-motor... ..., from the first notice of a claim to the last appeal, for clients... ...business objectives, and resolve disputes. For more information...ClaimsFull timeFor contractorsWork at office
- ...cycle billing process, ensuring accurate claim submission, payment posting, denial management... ...Operations, Credentialing, and Clinical teams to maintain revenue integrity and reduce... ...company benchmarks Investigate and resolve denials, rejections, and underpayments...ClaimsHourly payRemote workFlexible hours
- Natera in Austin, TX is seeking an Associate Revenue Cycle Analyst to investigate and resolve complex front-end billing issues impacting claim acceptance. You will work on EDI rejections, insurance verification, and claim submission errors, coordinating with vendor operations...Claims
- ...initiatives supporting insurance and claims operations. This role... ...The Scrum Master supports AI teams working on solutions that directly... ...with Technology leadership to resolve them quickly. The Scrum... ...roles. Sedgwick is the world’s leading risk and claims administration...ClaimsRemote work
- EY’s Forensics Insurance and Federal Claims Services team seeks a senior leader to guide engagement teams on disaster recovery funding projects for government clients. You will drive complex compliance work, build client relationships, and oversee project delivery while...Claims
$70k - $75k
...do the opportunities for our team members. At RealManage, you'll... ...tools, mobile apps, and industry-leading expertise to deliver... ...smooth community operations, resolve issues efficiently, promote community... ...proper insurance coverage; manage claims to resolution. Prepare for and...ClaimsFull timeContract workFor contractorsWork experience placement- ...registration procedures and documentation.Knowledge of medical insurance claims procedures and documentation. Needs to have thorough knowledge... ...examine unpaid third-party claims and delinquent accounts to resolve appropriate follow-up actions to ensure payment.Able to mentor...ClaimsDaily paidWork at officeImmediate start
$4,523.16 - $7,253.83 per month
...HHSC) and be part of a team committed to creating a... ...CAPPS. This will be the lead contact for Electronic... ...corrective maintenance for optimal system performance.... ...departures, abuse behavior, claims of injury by patients... ...multiple parties, resolve conflicts, and establish...ClaimsFull timeTemporary workPart timeFor contractorsWork at officeRemote workShift workRotating shift- ...contributing to a growing, winning team. Here, you'll be a part of a... .... Position Summary The Senior Claims Consultant serves as a subject... ...Catastrophe & Property Claims Lead the review and management of... ...initiatives and workflow optimization efforts in support of claims and...ClaimsFull timeWork at officeRemote work1 day per week
- ...an experienced Billing Manager to lead and optimize our revenue cycle operations while... ...accurate coding, charge capture, and claim submission Monitor and resolve claim denials, rejections, and AR... ...in-house and outsourced billing teams Compensation & Benefits ~ Competitive...ClaimsCasual workWork at officeRemote work
- ...Overview The Lead Bartender is responsible for safely and efficiently... ...of customer service from all team members. The Lead Bartender is... ..., or local law. Lark will claim a tip credit. This tip credit... ...Effectively coach, motivate, lead, and resolve employee concerns by timely...ClaimsHourly payMinimum wageFull timePart timeWork experience placementWork at officeLocal areaImmediate startFlexible hoursShift workNight shift
- ...with integrated design teams to produce high-quality... ...of project documents, claim prevention, team collaboration... ...Additionally, you will lead the cross-functional... ...project deliverables, resolving any issuesEnsure BIM... ...planning, and building optimization for new builds, renovations...ClaimsWork at office
- ...responsible for the daily processing and review of claims to Medicare, Medicaid, and other third-... ...messaging, and patient portals - to resolve their accounts. This role requires the... ...dashboards) to stay connected with the billing team and management. Maintains reliable...ClaimsWork at officeRemote workHome office
- ...customer experiences. Behind that work is a team that values ownership, curiosity,... ...diagnose drivers, and identify opportunities to optimize outcomes across the business. As part of... ...such as retention, underwriting, and claims. You act like an owner: going beyond reporting...ClaimsTemporary workRelocationRelocation packageFlexible hours
- Senior Team Leader, Construction Engineering & Inspection (CEI),... ...making decisions independently and resolving complex problems. This... ...counties in South and West Texas: Lead pursuits for CEI opportunities... ...in evaluation of contractor claims Ability to apply requirements...ClaimsContract workTemporary workFor contractorsLocal areaFlexible hours
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