Team Lead – Claims Verification

Position Summary

The Team Lead – Claims Verification is responsible for managing end-to-end verification operations, primarily for Workers’ Compensation and No-Fault cases, while also supporting lien and other case types as required. The role ensures accuracy, compliance, and timely processing of all cases prior to billing, while driving team performance, accountability, and process discipline across the function.

Key Responsibilities

• Lead daily verification operations, including structured work allocation based on priority, volume, and team capacity
• Ensure all new and pending cases are processed within defined timelines to avoid backlog and revenue impact
• Maintain strict adherence to SOPs, payer-specific requirements, and internal compliance standards
• Manage escalations and complex cases, ensuring proper routing, ownership, and closure
• Monitor and drive resolution of aged cases through consistent follow-up...