Claims Supervisor
hace 4 semanas
Responsibilities
Manages claim organizational metrics for days mail on hand, performance guarantees and staffing.
Manages the daily operations of claim team; Effectively communicates organizational strategies to engage staff and drive desired behaviors
Exhibits managerial courage and consistently delivers accurate and transparent messages to staff
Responsibility for strategic analysis of MOS data to gain deep insights in order to proactively recommend improvements related to MOS tools, team results and processes to drive operational efficiencies and improvements across aligned organization.
Demonstrates strong individual competency as well as coaches/ mentors others on all Management Operating System (MOS) tools to include Barrier Time Tracker, Daily Schedule Controls, Automated Scorecard, Performance Profile and Quartiling.
Address MOS findings at the team, cross team and organizational levels, working to remove barriers for individuals and beyond as a change leader to staff and matrix partners with regard to efficiency and quality.
Partners with Resource Management, Short and Long term Capacity Planners to deliver on operational and client expectations
Builds and supports a high performance culture within the global organization, focusing on employee training and development, regular and open communication, individual/team accountability and recognition.
Lead/participate in projects and initiatives in support of service and operational excellence and providing consistent, positive impact to teams.
Work with partners to ensure claim performance meets or exceeds both quality and time to process goals.
Utilizes active management processes to develop direct reports, enabling the team to successfully balance accuracy and quality with productivity to drive positive results with a goal of 100% accuracy.
Adapts communication style to effectively engage individuals/teams in a virtual environment, delivering communications positively and in support of organizational goals and objectives
Collaborates with internal and external matrix partners to ensure objectives and standards are met, policies and procedures are followed, gaps identified and closed, communications are clear
Facilitates compliance with all corporate policies for the claims processing staff.
Supports diversity by building an inclusive environment and valuing different perspectives
Ability to prioritize critical objectives focusing on high impact components
Ability to work with high sense of urgency
Demonstrates ability to effectively communicate verbally and in writing, both with senior leaders in the organization and in disseminating information to staff
Demonstrate mastery of Diamond Claim Management, and the functional and technical knowledge and skills to manage the business.
Ability to mentor and coach claim processors to meet or exceed goals successfully.
**Qualifications**:
2+ years’ experience with Claim Payment - influencing automation, quality, driving total medical cost savings, performance guarantees & Management Operating Systems (MOS) tools and methodologies required.
2+ Experience with Global Service Partners; expansion of relationships, calibration of performance and Service Level Agreements required.
Experience with Account and Client meetings and non-standard claim payment request.
Proven track record of effectively driving change through strong partnerships and engagement with Global Service Partners, management and front line teams.
Experience leading capacity planning and staffing needs in addition to, training needs and inventory.
Excellent communication, interpersonal and negotiation skills required
Ability to problem solve, manage priorities and meet deadline with urgency.
Prior experience managing direct reports and leading project teams
Demonstrated experience in seeking out, building and nurturing strong relationships with partners.
Demonstrates managerial courage and change leadership in a dynamic environment
Responsible for driving change and influencing individuals at all levels of the organization.
Demonstrates skill in influencing others and relating to individuals at all levels of the organization required.
About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lac
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