Team Leader (Pioneer Insurance Account)

Step up, stand out, and lead with purpose — your next big career move starts here!

Position Purpose:

The Team Lead is responsible for leading and supporting claims representatives in the accurate and

regulatory requirements, and best practices in medical bill processing. Process Coach provides ongoing

training, performance feedback, and process improvement guidance to enhance team effectiveness and

customer satisfaction.

Essential Functions and Responsibilities:

1. Coach and mentor claims representatives on medical bill review procedures, documentation

1. Monitor team performance and provide actionable feedback to improve accuracy, timeliness, and

1. Conduct audits and quality checks on processed claims to ensure consistency and adherence to

1. Collaborate with leadership to identify process gaps and implement improvements
2. Serve as a subject matter expert on medical bill review protocols and state-specific requirements

1. Support escalated claim resolution and provider communication when needed
2. Track performance metrics and contribute to reporting and analysis for operational insights.

Minimum Job Requirements (Experience, Skills):

• Education: At least 2 years of college
• Experience: Minimum 1 year in a supervisory or team lead role, preferably in Health and P&C insurance in data Capture Program; or any insurance account
• Skills:

1. Strong leadership and interpersonal skills
2. Excellent verbal and written communication
3. Analytical thinking and problem-solving
4. Proficiency in MS Office and workflow management tools
5. Ability to manage time and prioritize tasks effectively