Claims Supervisor

Job Description*

• Leads Claims team consisting of experienced administrative, operative, and or technical roles in the Professional career track. Typically, responsible for a large number of direct and indirect reports in a process or transactional operations environment. Coordinates schedules and workflow for the team. Supervises the accurate and timely adjudication of claims and administers disposition according to contractual benefits and company procedures.  Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs.  Responsible for monitoring claim service standards.  Ensures the orientation and training of employees.

Responsibilities: -

• Review and assess inventory levels coordinating daily allocations and planning ahead to maximise staffing levels to maximise results. 
• Ensure that productivity, quality, and customer satisfaction, are managed within own team and motivation of the individuals and team to achieve the operational KPI’s. 
• Monitor inventories and customer feedback to anticipate potential problems and bringing creative solutions to address the short-term need, understanding, and implementing improvements for the future.  
• Actively develop team members through ensuring suitable training and development plans are in place conducting training analysis if required. 
• Conduct regular staff check-in’s, ensuring goals are in place and monitored, performance is reviewed and recognised, and career development discussed. 
• Engage, motivate and inspire individuals through keeping focus on employee engagement. 
• To develop effective relationships and communications with internal and external customers to ensure a highly engaged seamless delivery of service. Actively encourage all team members to do likewise. 
• Create a positive and motivated environment for the team, engaged on delivering for the customers.  
• Support projects and initiatives being proactive in seeking new ideas and ensuring the customers’ requirements are accounted for whist delivering efficient operational change.  
• To produce meaningful, accurate management reports and statistical information  
• Respond to any complaints and address underlying issues promptly.

Requirements*:

• Customer focused with 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 in developing high performing teams and individuals. 
• Excellent negotiation, presentation and influencing skills. 
• Sound analytical skills and ability focus on detail.
• Experience in leading through change. 
• Experience in improving processes.  
• Involvement in initiatives and projects desirable 
• Proficient in the use of Spreadsheets, word-processing and associated office IT Skills 

Education*: Graduate (Any) - medical, Paramedical, Commerce, Statistics, Mathematics, Economics or Science.
Experience Range*: Minimum 9 years and up to 12 years of experience in EU health insurance claims industry, includes hands-on experience on claims processing of at least 4 years and 3-4 years in managing team of 12-15 members/associates.
Foundational Skills* -

• Expertise in EU insurance claims processing

About The Cigna Group

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our 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. Join us in driving growth and improving lives.