What are the responsibilities and job description for the Claims Team Lead Hybrid Williston, VT position at Gainwell Technologies?
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
The Claims Team Lead is responsible for providing day-to-day leadership, training, quality oversight, and operational support for the Claims Team. This role serves as a subject matter expert for claims processing, coordinates workflow priorities, monitors performance and SLA compliance, supports staff development, and acts as a liaison between team members, management, system support teams, and external stakeholders. The Team Lead ensures claims are processed accurately, timely, and in accordance with policy, regulatory requirements, and operational standards.
Your role in our mission
The pay range for this position is $58,800.00 - $84,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Summary
The Claims Team Lead is responsible for providing day-to-day leadership, training, quality oversight, and operational support for the Claims Team. This role serves as a subject matter expert for claims processing, coordinates workflow priorities, monitors performance and SLA compliance, supports staff development, and acts as a liaison between team members, management, system support teams, and external stakeholders. The Team Lead ensures claims are processed accurately, timely, and in accordance with policy, regulatory requirements, and operational standards.
Your role in our mission
- Provide guidance, coaching, and support to Claims Team staff while fostering a positive and collaborative work environment.
- Conduct one-on-one meetings, train new employees, and provide ongoing education and support to team members.
- Assist staff with claims processing, policy, system, and procedural questions.
- Perform quality assurance reviews, identify processing errors, and communicate audit findings with constructive feedback.
- Ensure compliance with claims policies, procedures, service level agreements (SLAs), and audit requirements.
- Perform other duties as assigned by the supervisor or management.
- Monitor claims inventory, aging reports, suspended and pending claims, and related workflows to identify and resolve processing delays.
- Generate and analyze operational reports, claims data, dashboards, and performance metrics to identify trends and process improvement opportunities.
- Serve as a primary escalation point and collaborate with managers, operations, systems teams, and external partners to resolve claims-related issues.
- Maintain expertise in claims processing systems, policies, procedures, and documentation while assisting with system troubleshooting and enhancements.
- Provide leadership support through coaching, mentoring, project participation, and management backup while effectively managing multiple priorities and deadlines.
- Hybrid Williston, VT
- 1 day in office/WFH.
The pay range for this position is $58,800.00 - $84,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Salary : $58,800 - $84,000