Claims Team Lead

Location: Remote, United States. The role may operate in a hybrid or remote environment across multiple time zones and may require travel based on company needs.

Salary: $44,000–$50,000 annual US base salary

Company

hirify.global provides AI-powered operational infrastructure that helps health insurance companies modernize their operations.

What you will do

• Directly manage a team of typically 12–15 claims examiners and adjusters.
• Ensure claims operations meet client guidelines, service-level agreements, productivity targets, and accuracy standards.
• Monitor staff performance and address operational issues with management and client stakeholders.
• Coordinate projects involving process documentation, training, quality audits, surge support, provider data, authorizations, and enrollment.
• Coach the team, build employee competencies, and drive operational excellence.

Requirements

• 5+ years of healthcare claims processing experience.
• Experience effectively leading a claims team and coaching employees.
• Knowledge of physician billing, hospital coding, medical terminology, and authorization requirements.
• Knowledge of ICD-10, CPT, and HCPCS/HCPC coding.
• Strong verbal and written communication, collaboration, dependability, and ability to work independently.
• Experience with Microsoft applications, especially Excel.

Culture & Benefits

• Fast-paced environment with opportunities to learn new skills.
• Remote or hybrid work environment with collaboration across multiple time zones.
• Work focused on service quality, operational excellence, and client outcomes.
• Reasonable accommodations are available for individuals with disabilities.
• Employment is full-time and permanent.