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Medicare Team Leader

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Job Details

Location:
Lake Mary, FL
Category:
Claim
Employment Type:
Full time
Job Ref:
R2623663

Team Leader Claims - CH08AE

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.   

         

This team is responsible for overseeing Medicare CMS errors, as well as managing associated penalties and interest.

This role offers a Hybrid or Remote work arrangement.

  • Hybrid: Candidates residing near one of our office locations—Hartford, CT; San Antonio, TX; Lake Mary, FL; Scottsdale, AZ; or Naperville, IL—will be expected to work onsite three days per week (Tuesday–Thursday).
  • Remote: Candidates who do not live near an office location will work remotely, with occasional in-office presence as business needs arise.

Leadership Effectiveness & Work Environment (40%)

  • Communicate and reinforce business vision, strategies, and plans that support organizational goals.
  • Demonstrate confidence and an action-oriented approach in managing work assignments.
  • Foster a high-performance culture by attracting, developing, and engaging talent.
  • Drive execution of the Medicare Operations business plan through effective change management and ongoing communication.
  • Support employees in understanding the connection between their work and the Claims mission, identifying and removing barriers to success.

Quality (30%)

  • Conduct monthly, quarterly, and annual quality reviews.
  • Provide timely, constructive feedback to frontline employees based on quality results.
  • Monitor regulatory compliance to ensure accuracy in Medicare lien tracking and resolution.
  • Identify training gaps contributing to errors and oversee the development and delivery of training solutions.

Customer Service (20%)

  • Maintain service-level expectations by managing workloads efficiently.
  • Partner with the team to ensure timely and responsive customer support.
  • Build and maintain strong relationships with internal and external customers and business partners.

Regulatory Compliance (10%)

  • Collaborate with Compliance Specialists to complete state-specific monthly and quarterly regulatory compliance reviews.
  • Support compliance assessments conducted through CPI audits, QBRs, Center Reviews, and monthly self-assessments.

Qualifications

  • Demonstrated history of high performance and consistent achievement.
  • Proven competency aligned with the organization’s Competency Profile
  • Successful completion of required candidate testing/certification processes.
  • Medicare knowledge or leadership experience preferred.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$86,400 - $129,600

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

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About Us

We believe every day is a day to do right.

And that belief has guided us for over 200 years. Showing up for people isn’t just what we do, it’s who we are. We’re devoted to finding innovative ways to serve our customers, communities and employees – continually asking ourselves what more we can do.

And while how we contribute looks different for each of us, it’s these values that drive all of us to do more and to do better every day.

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