Job Description

General Description:

The Claims Team Leader is responsible for the supervision, training and development of a team of Claims Specialists. The Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues.

Responsibilities and Duties:

·Be the point person for questions from your team members. Coordinate answers with agencies and/or internal departments including Operations.

• Sign off/approve credit memos and employee receivables.
• Assist with administrative accounting procedures per Controller/CFO.

·Audit team performance, monitor team metrics and manage claims process.

·Train new employees and existing employees in department procedures and agency requirements.

·Assist in developing claims procedures for all new agencies prior to transitioning to Claims Specialist.

·Prepare A/R reports for your team’s agencies to monitor unpaid claims. Work with team members and agencies to collect outstanding payments.

·Communicate with Claims Manager including but not limited to: training issues, agency challenges, unbilled items and A/R issues.

• Attends trainings, conferences and staff meetings.
• Participates in company continuous improvement processes.
• Uphold Mission and Values
• Other duties as assigned by Claims Manager.