UST HealthProof · 12 hours ago
Team Lead, Claims
United States
Full-time
Remote
Mid, Senior Level
$50K/yr - $55K/yr
5+ years expUST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. The Claims Team Lead is responsible for managing a team of claims examiners and adjusters, ensuring productivity and accuracy in processing claims while collaborating on special projects.
Hospital & Health Care
Responsibilities
Be responsible for directly managing a staff of typically 12 - 15 associates
Be responsible for knowing and meeting client-specified guidelines
Be responsible for monitoring and management of the downline staff s productivity targets and financial and procedural accuracy standards as established by management
Collaborate on special projects as assigned by the manager; special projects can include process documentation development, training, quality audits, assisting with surge activity for the client(s), or any other project as determined by management
Establish and maintain an appropriate level of communication with management to address issues and concerns and take preventive measures that ensure processing accuracy and quality
Assemble and assign projects that may include provider data, authorizations, enrolment, or other information
Qualification
Required
5+ years healthcare claims processing experience HRP
Solid understanding and ability to effectively lead a claims team
Good communication skills (verbal and written)
Microsoft application experience, especially Excel is suggested
ICD-10 CPT and HCPCS coding is a plus
Knowledge base of physician billing and hospital coding (ICD-10, HCPC, CPT-4), medical terminology, and authorization requirements
Willingness to learn new skills
Team collaborator
Strong work ethic
Benefits
Full-time, regular employees accrue up to 16 days of paid vacation per year
Receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year)
10 paid holidays
Eligible for paid bereavement leave
Eligible to participate in the Company’s 401(k) Retirement Plan with employer matching
Eligible for medical, dental, and vision insurance
Basic life insurance
Accidental death and disability insurance
Short- and long-term disability benefits
Purchase additional voluntary short-term disability benefits
Participate in a Health Savings Account (HSA)
Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses
Potential for quarterly incentive-based bonuses and or commissions depending on role
Company
UST HealthProof
UST HealthProof offers risk adjustment, quality programs, and healthcare payer technology services. It is a sub-organization of UST.
501-1000 employees
H1B Sponsorship
UST HealthProof has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (43)
2023 (31)
2022 (3)
Funding
Current Stage
Late StageTotal Funding
unknown2025-09-04Acquired
Leadership Team
Kevin Adams
Chief Executive Officer
Beth Maxwell
VP Product Delivery and Partnerships
Recent News
2025-12-06
Precedence Research
2025-11-21
2025-11-07
Company data provided by crunchbase