In this role you will be responsible for the following:  •    Provides client satisfaction through the monitoring of targets, deadlines, and compliance with Service Level Agreements.
•    Ensures the claims team carry out their responsibility or daily claims focus and work allocation while keeping the team motivated and efficient
•    Monitors the teams accurate and efficient processing of claims
•    Contributes towards continuous the teams continuous improvement and innovation at process and procedural level   Requirements for this role are:  •    3+ Healthcare insurance industry experien+D53ce- that required a knowledge of healthcare insurance policy concepts including In Network, Out of Network providers, Deductible, Coinsurance, Co-pay, Out of Pocket, Maximum inside limits and Exclusions, State Variations.
•    3+ years of Claims Adjudication experience that required you to review claims rules and workflows.
•    3+ years teams management and leadership experience.  Preferences:  •    Ability to communicate (oral/written) effectively to exchange information with our client.
•    Collaboration with all business areas