Job Description

The Claims Supervisor will be responsible for day-to-day operations of a team of claims adjudicators responsible for processing claims and/or call trackers. They will monitor productivity and performance standards, policies and procedures, direct work flow and project assignments. They will oversee productivity, claims accuracy, and timeliness to ensure CMS standards are met. The Claims Supervisor will conduct hiring, training, and evaluation of staff and will be responsible for the teams adherence to corporate attendance and employment policies. The Claims Supervisor will work with the Claims Manager to develop policies, procedures and the business work plan for the team and recommend operational improvements when appropriate.

Primary Job Responsibilities

- Schedule and monitor staff and day to day workflow. Develop employees skills, evaluate performance and provide feedback.

- Oversees resolution of employee relations.

- Conducts hiring, training, and evaluation of staff.

- Participates in operational meetings and training sessions as necessary.

- Develop, track and monitor employees compliance to quality, service and production standards.

- Address staff concerns and day to day operational, system, customer service, quality, and professional issues. Work in production as needed.

- Implement programs and process improvements to enhance the level of internal and external customer service provided. Work with Claims Manager to analyze operations and overall efficiencies of the team.

- Serve as a point of escalation for issues requiring a higher degree of expertise or discretion to resolve.

- Ensures privacy and confidentiality as required by HIPAA, company and departmental guidelines.

- Other special projects and tasks as assigned.

Qualifications

- At least 1 years experience in a leadership role required.

- At least 2 years experience in a claims processing environment strongly preferred

- Knowledge of Microsoft office required (Word, Excel, etc.)

- Strong knowledge of Medicare regulatory requirements

- QNXT experience preferred

- Candidate must have strong verbal, listening and written communication skills.

- Possible up to 25% of travel as business needs

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, 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 Cigna, youll enjoy meaningful career experiences that enrich peoples lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search TeamCigna on Instagram.

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 lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.