Claims Supervisor - Cigna Healthcare

Overview

Lead a claims team of administrative, operative and/or technical staff in a process or transactional operations environment, supervising accurate and timely claim adjudication.

What you'll do

• Review and assess inventory levels, coordinate daily allocations and plan ahead to maximize staffing levels and results.
• Manage productivity, quality and customer satisfaction within your team and motivate individuals and the team to achieve operational KPIs.
• Monitor inventories and customer feedback to anticipate problems and bring creative short-term solutions and longer-term improvements.
• Develop team members through suitable training and development plans, conducting training analysis where required.
• Conduct regular staff check-ins to set and monitor goals, review and recognize performance, and discuss career development.
• Engage, motivate and inspire individuals with a focus on employee engagement.
• Develop effective relationships and communications with internal and external customers to ensure seamless service delivery.
• Create a positive, motivated team environment focused on customer delivery.
• Support projects and initiatives, seeking new ideas and ensuring customer requirements are accounted for during operational change.
• Produce meaningful, accurate management reports and statistical information.
• Respond to complaints and address underlying issues promptly.
• Monitor claim service standards and provide direction on policies, procedures, workflows, claim service quality and training needs.
• Ensure orientation and training of employees.
• Coordinate schedules and workflow for the team.
• Supervise the accurate and timely adjudication of claims and administer disposition according to contractual benefits and company procedures.

What you'll need

• Customer focused, with the ability to identify and solve problems.
• Leadership skills to motivate and develop others.
• Proven track record of understanding and delivering customer needs within a fast-paced service industry.
• Experience developing high performing teams and individuals.
• Excellent negotiation, presentation and influencing skills.
• Sound analytical skills and attention to detail.
• Experience leading through change.
• Experience improving processes.
• Proficient in spreadsheets, word-processing and associated office IT.
• Graduate (any) in medical, paramedical, commerce, statistics, mathematics, economics or science.
• Minimum 5 years in the health insurance claims industry, including hands-on experience managing a team of 12-15 members/associates.

Nice to have

• Involvement in initiatives and projects.

Details

• Location: Bengaluru, India.