Team leader operations For claims adjudication @ Sagility

Urgent hiring for Team leader operations for claims adjudication from US Healthcare.

Looking for immediate joiners or less than 30 days' notice period.

Interested folks can reach out to below mentions contact persons.

Job Title: Team Leader Claims Adjudication

Location: Indore, Coimbatore, Bangalore

Department: Claims Operations

Reports To: Manager Claims Adjudication

Role Overview:

The Team Leader Claims Adjudication is responsible for supervising a team of claims processors/adjudicators to ensure accurate and timely adjudication of healthcare/insurance claims in line with policies, compliance requirements, and service-level agreements (SLAs). The role involves performance management, process oversight, and quality monitoring, and driving continuous improvements within the claims adjudication process.

Key Responsibilities:

• Lead, mentor, and manage a team of claims adjudicators to achieve defined productivity, quality, and SLA targets.
• Review adjudicated claims for accuracy, compliance, and adherence to standard operating procedures.
• Provide guidance on complex claims, policy interpretation, and exception handling.
• Monitor daily workflow, allocate tasks, and ensure timely resolution of pending or escalated claims.
• Track team performance through dashboards and prepare regular reports for management.
• Conduct regular audits, identify error trends, and implement corrective action plans.
• Train and coach team members on new processes, updates, and quality standards.
• Collaborate with cross-functional teams (quality, training, operations) to resolve process gaps and improve efficiency.
• Ensure compliance with regulatory requirements, privacy, and data security guidelines.
• Foster a culture of accountability, teamwork, and continuous improvement.

Key Requirements:

• Graduate in any discipline (Bachelors degree required; healthcare/insurance background preferred).
• Minimum

  4.67 years of experience

  in claims adjudication, with at least

  2 years in a SME on papers

• Strong knowledge of claims processing, adjudication guidelines, and industry regulations.
• Excellent analytical and decision-making skills with attention to detail.
• Ability to manage performance, coach teams, and drive results in a fast-paced environment.
• Strong communication and stakeholder management skills.
• Proficiency in MS Office tools and claims adjudication systems.

Key Competencies:

• Leadership & People Management
• Process & Quality Orientation
• Problem Solving & Decision Making
• Strong Customer & Service Focus
• Adaptability and Continuous Improvement Mindset

Interested candidates can please reach out as below:

Anitha or whats app your resume on

Preetham -

Srikanth or whats app your resume on