Full-time

Cigna Healthcare is hiring a Claims Senior Supervisor

About the Role

Cigna Healthcare is seeking a Claims Senior Supervisor to provide full technical leadership for the output of a large Claims team. You will manage CHSI IOH Member Claims teams, supported by 4 Claims Supervisors and responsible for circa 60 team members. In this role, you will contribute to overall operations strategy, identifying opportunities to enhance service and improve efficiencies.

What You'll Do

  • Motivate individuals and team collectively to achieve agreed productivity, turn-around-time, quality, and client & customer satisfaction targets.
  • Create an environment that encourages success, inspiring the team and developing team members.
  • Ensure appropriate performance management action, timely recruitment, and effective succession planning.
  • Contribute to change and innovation and be pro-active in identifying opportunities for improvement within team and Claims processes.
  • Use data insights to challenge day-to-day operations and build a continuous improvement mindset.
  • Manage effective capacity plans, keeping oversight of staff level requirements and proactively addressing risks.
  • Produce meaningful, accurate management reports and statistical information on agreed schedules.
  • Manage the implementation of new contracts with the support of subject matter experts.
  • Develop and maintain proactive business relationships internally and externally to ensure seamless service delivery.
  • Act as a focal point for the Client management team and all clients.
  • Interact with senior management to adapt processes to meet evolving objectives.
  • Use independent judgement to review and resolve complex issues.
  • Contribute to achieving departmental and company-wide goals and business plans.
  • Coordinate schedules and workflow for the team.
  • Supervise the accurate and timely adjudication of claims according to contractual benefits and company procedures.
  • Provide direction on policies, procedures, workflows, claim service quality, and training needs.
  • Monitor claim service standards.
  • Focus on ensuring short-term outputs and team integration with other work areas.
  • Provide input into workforce planning and recruitment activities.

What We're Looking For

  • Minimum of five years’ experience leading large operations teams or relevant experience in a Customer Operations function.
  • Experience in coaching, managing, developing, and motivating individuals.
  • Proven data analytics skills (e.g., advanced Excel, Power BI).
  • Clear experience in driving a team to achieve excellent customer service results.
  • Experience of leading and implementing change.
  • Excellent inter-personal, negotiation, and influencing skills.
  • Action-orientated problem-solving and process improvement skills.
  • Excellent organisation, planning, and prioritisation skills.
  • Strong communication skills, demonstrating drive and enthusiasm.
  • Demonstrated flexibility and adaptability to change.
  • Result-oriented, able to mobilise the team to achieve key objectives.
  • Accountability – assumes ownership for achieving personal results and collective goals.
  • Customer orientated approach.
  • Active language knowledge of at least English.

Nice to Have

  • Financial services or insurance experience.
  • Knowledge of additional foreign languages.

Team & Environment

You will manage CHSI IOH Member Claims teams, a group of circa 60 team members supported by 4 Claims Supervisors. You will report to the Head of IOH Member Claims.

Cigna Healthcare cultivates a culture that manages ambiguity, balances stakeholders, and leverages organizational savvy. We drive engagement, build effective teams, and value tech savviness, a global perspective, and a data-driven approach.

Required Skills
Claims ProcessingSupervisory ExperienceTeam LeadershipCustomer ServiceMedicareMedicaidComplianceProcess ImprovementPerformance ManagementTrainingCommunicationProblem SolvingAnalytical SkillsHealthcare IndustryInsurance
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About company
Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. They guide customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.

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Job Details
Category other
Posted 3 months ago