Claims Adjuster, Lead

The Claims Lead is responsible for assignment and oversight of daily claims inventory among claims examiners and vendor(s). The claims lead works closely with Management to identify and implement process improvements necessary to maintain and improve the accuracy and integrity  of the claim process and increase operational efficiency.  The claims lead provides supervision in the absence of the Manger, and is responsible for staff training, member and provider interfaces. The claims lead work independently, collaborating Business Intelligence, Member Services, Appeals and Grievance, Finance, Utilization Management, IT and other business units ensure the claims department meets and/or exceeds quality and performance standards.