Data Processing Team Leader (US Healthcare)

Data Processing Team Leader (US Healthcare)

Job Summary

We are seeking a hands‑on Team Leader to support a Digital Transformation–driven claims processing environment for US health insurance clients. This role sits within a Product Support Services–type function, providing operational support across claims and non‑claims workflows, with a strong focus on data lifting, text processing, validation, and client deliverables.

The Team Leader will actively process work while guiding a team to ensure accuracy, efficiency, and compliance across multiple workflows and client requirements.

Key Responsibilities

Processing & Digital Operations

Perform end-to-end data processing for US medical claims and documents

Review scanned files (PDFs, images) and extract accurate claim data

Validate and correct information in the system

Handle complex or priority cases as a subject matter resource

Team Leadership & Support

Lead and support a team of processors (data/text/claims)

Assign daily tasks and balance workloads across accounts

Act as the first point of contact for issues or escalations

Client Deliverables

Ensure accurate and on-time submission of client outputs

Perform basic checks/reconciliation to ensure data completeness

Help resolve client or internal data-related concerns

Quality & Compliance

Review team output to ensure accuracy and quality standards

Identify errors and coach team members for improvement

Ensure compliance with US healthcare regulations (HIPAA)

Coaching & Improvement

Provide real-time coaching and feedback to the team

Support onboarding and training of new hires

Suggest process improvements to increase efficiency

Reporting & Coordination

Monitor team performance (productivity, accuracy, turnaround time)

Share reports and coordinate with Quality, Training, and Operations teams

Qualifications

Bachelor’s degree in Business Administration, Healthcare-related courses or equivalent experience.

At least 2-3years experience in US medical claims or data processing.

Experience as a Senior Processor / SME / Team Lead is an advantage

Knowledge of US medical claims processing

Experience in data extraction, validation, and high-volume work

Experience in BPO/shared services or digital operations.

Exposure to reconciliation, audits, or client support.

Requirements:

Willing to work on shifting schedules, graveyard shift if required.

Candidate residing in Manila or nearby provinces is preferred

**Work Arrangement: This position is currently offered on a HYBRID work basis. However, please note that this is a performance-based role, and the company reserves the right to require employees to report onsite at any time based on business needs, performance evaluations, operational requirements. Flexibility to transition to an office-based setup when necessary is expected.

Why You’ll Love Working with Us:

🏠 Potential for Remote Work Arrangement

🩺Comprehensive HMO Coverage (Medical & Dental)

Ready to Grow Your Career?

We’d love to meet you! Click “Apply Now” and tell us why you’d be a great addition to the Imagenet team.

COMPANY OVERVIEW:

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans’ members and providers. 

The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans’ members and providers.  The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually.  The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.

Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.