This job is no longer available
This job expired on 19/09/2026. It no longer accepts applications.
Team Leader – Insurance (Medical Bill Review)
Afni, Inc. · Quezon City
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.
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Afni, Inc.
Quezon City