The Team Leader in Health Insurance oversees a team of representatives or specialists to ensure efficient, accurate, and customer-focused delivery of health insurance services. This role is responsible for team performance, workflow management, training, and maintaining compliance with regulatory and company standards. The Team Leader acts as the main point of escalation and supports continuous improvement across operational processes.
Key Responsibilities:
1. Team Leadership & Performance Management
Supervise, coach, and motivate team members to achieve individual and team KPIs (e.g., turnaround time, accuracy, customer satisfaction).
Conduct regular performance evaluations and provide constructive feedback.
2. Quality & Compliance
Ensure all team activities comply with regulatory requirements (HIPAA, CMS guidelines, local health regulations).
Conduct regular quality audits to ensure accuracy and adherence to policies.
Skills:
Strong knowledge of health insurance processes, terminology, and regulations.
Excellent leadership, coaching, and conflict-resolution skills.
Proficiency in insurance management systems and MS Office tools.
Strong analytical, organizational, and communication abilities.
Benefits:
Competitive salary with performance-based increments.
Flexible scheduling to support work-life balance.
Employee recognition programs (awards, spot bonuses, appreciation events).