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Team Leader – Insurance (Medical Bill Review)

Afni, Inc. · Quezon City

Mid 🇬🇧 English
MS Office workflow management tools

Job description

About the role

We are seeking a proactive Team Leader to oversee a non‑voice, back‑office team handling medical bill review and data validation for a major U.S. insurance provider. The role focuses on ensuring accurate processing of auto‑insurance claims while maintaining compliance with regulatory standards.

Key responsibilities

  • Coach and mentor claims representatives on medical bill review procedures, documentation standards, and compliance requirements.
  • Monitor team performance, provide actionable feedback, and conduct audits to ensure accuracy and timeliness.
  • Identify process gaps, propose improvements, and collaborate with leadership on implementation.
  • Serve as subject‑matter expert for state‑specific requirements such as PIP and MedPay.
  • Support escalated claim resolutions and communicate with providers when necessary.
  • Track performance metrics and contribute to operational reporting and analysis.

Required profile

  • At least two years of college education.
  • Minimum one year of supervisory or team‑lead experience, preferably in health or P&C insurance data‑capture programs.
  • Strong analytical thinking, problem‑solving abilities, and effective time‑management.

Required skills

  • Proficiency in MS Office.
  • Experience with workflow management tools.

What we offer

  • Opportunity to work with one of the largest and most recognized insurance providers in the United States.
  • Non‑voice, back‑office environment focused on analytical, detail‑oriented tasks.
  • Potential career growth in healthcare operations and insurance.

Questions fréquentes

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Published 2 months ago

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Afni, Inc.

Quezon City