Claims Supervisor - Cigna Healthcare

Cigna Healthcare; Bengaluru; On-site; INR 1,500,000 - 2,100,000; Full time

Job summary

Cigna Healthcare in Bengaluru is seeking a Lead for the Claims team to oversee a group of 12–15 members in a fast-paced health insurance operations environment. You will supervise adjudication, ensure service standards, and drive process improvements while aligning with contractual benefits and company procedures.

The role demands strong leadership, customer focus, analytical skills and a track record of delivering results through change management and team development.

Qualifications

• Graduate in any of: medical, paramedical, commerce, statistics, mathematics, economics or science.

Responsibilities

• Oversee claims team of 12–15 members to adjudicate claims and ensure timely processing.
• Monitor productivity, quality and customer satisfaction within the team and drive KPI achievement.
• Identify and implement process improvements to enhance claim operations and turnaround times.
• Develop team members through training plans and performance reviews.
• Coordinate with internal/external stakeholders to ensure service excellence.

Skills

Leadership

Customer focus

Problem solving

Negotiation

Presentation skills

Analytical skills

Change management

Process improvement

Team development

Stakeholder management

Education

Graduate (Any) in medical, paramedical, commerce, statistics, mathematics, economics or science

Tools

Excel

Office productivity tools

Job description

About Us

At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day.

One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We’re devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being.

CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization.

Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us!

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 maximize staffing levels to maximize 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 recognized, 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 5 years in health insurance claims industry, includes hands-on experience in managing team of 12-15 members/associates.

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.