The Claims Team Lead is responsible for overseeing daily claims operations, supporting a team of claims processors/adjusters, ensuring productivity and quality goals are met, and serving as the first level of escalation for operational issues. The role drives compliance with client, regulatory, and organizational requirements while fostering employee development and continuous improvement.
Key Responsibilities
- Provide day-to-day leadership and support to claims associates.
- Monitor productivity, quality, accuracy, and turnaround time performance.
- Conduct coaching, training, and performance discussions.
- Review inventories and allocate workload to meet SLAs.
- Identify process improvement and automation opportunities.
- Ensure adherence to client policies, CMS/regulatory requirements, and internal procedures.
- Handle escalated claims and operational issues.
- Support audits, quality reviews, and corrective action plans.
- Prepare operational reports and communicate performance results to leadership.
- Partner with training, quality, and client teams to drive improvements.
Qualifications
- At least a High School Diploma or equivalent is required
- Healthcare claims processing experience (Commercial, Medicare, Medicaid, or related lines of business).
- Experience with claims platforms: Facets
- Strong knowledge of claim adjudication, adjustments, appeals, and regulatory requirements.
- Previous lead, mentoring, or supervisory experience preferred.
- Strong analytical, communication, and problem-solving skills.
- Proficiency with Microsoft Office, especially Excel.
- Experience leading a team
Key Competencies
- Leadership and team development
- Performance management
- Client focus
- Operational excellence
- Quality and compliance management
- Process improvement
- Decision-making and problem solving
Salary and Other Compensation:
Applications will be accepted until October 30th, 2026.
The annual salary for this position is between $60,000 - $67,000 depending on experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
- Medical/Dental/Vision/Life Insurance
- Paid holidays plus Paid Time Off
- 401(k) plan and contributions
- Long-term/Short-term Disability
- Paid Parental Leave
- Employee Stock Purchase Plan
Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
About Cognizant:
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.
Additional employment information
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.
