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The Team Lead is responsible for overseeing the daily operations of the audit team, ensuring efficiency, accuracy, and compliance in claim reviews. This role builds upon the Team Coach position by adding leadership responsibilities such as performance management, workflow oversight, and team engagement. The Team Lead is a critical link between auditors and management, ensuring audit targets are met while fostering a culture of continuous improvement and professional development

Requirements:

Bachelor’s degree mandatory.
Overall 7+ years of experience of which 1 + year as Team Lead or equivalent
Proficiency of MS Office (Word, Excel) required.
Must be detail-oriented and flexible to work in a fast-paced, dynamic setting.
Strong analytical, critical thinking and problem solving skills.
Team player with strong desire to assist others and share knowledge
Excellent verbal and written communication skills
Open to work in any shift including night shift

Principal Responsibilities and Essential Duties:




Team Leadership: Supervise and manage a team of Payment Accuracy Specialists and Senior Specialists, ensuring productivity and quality targets are met. Address and resolve team challenges, escalations, and process bottlenecks to ensure smooth operations.
Ensure Team Performance: Monitor team performance, track key performance indicators (KPIs), and implement corrective actions when necessary.
Audit Oversight: Ensure audit workflows are executed efficiently and maintain high accuracy levels in claim reviews. Review and approve audit findings for high-value or complex claims before submission.
Data Analysis: Utilize internal tools and databases to assess claim accuracy and detect patterns of incorrect billing. Utilize data analytics tools to detect payment trends, anomalies, and fraud indicators. Develop and refine audit methodologies to improve accuracy and efficiency. Assist in process improvement initi

📌 Team Lead | US Healthcare Operations | Pune (India)
🏢 Cotiviti
📍 India