Description
*The Claims Supervisor will lead a team responsible for accurate and timely processing of healthcare claims (professional/institutional) while ensuring adherence to client policies, regulatory requirements, and internal quality standards. This role focuses on daily operations management , team performance , quality/compliance , production attainment , people leadership , and continuous improvement across claims processing workflows. Responsibilities: -
1) Team Leadership & Daily Operations
Supervise day-to-day claims processing operations to meet SLA/TAT, productivity, and quality targets. Allocate work, manage volumes, and ensure queue hygiene , balanced distribution, and timely completion of deliverables. Provide floor support and real-time resolution for processing queries and escalations. 2) Claims Processing Oversight (Technical & Functional)
Guide the team on claims handling across key areas such as:Claims intake, validation, adjudication support and pends Error identification and correction , resubmissions,



and recoupment workflows (as applicable)Coordination of Benefits (COB) Ensure correct application of standard claims concepts (as applicable to process):Eligibility, advantages, pre-auth/referrals, medical necessity indicatorsCode familiarity: CPT/HCPCS/ICD-10 (conceptual), modifiers, NCCI awareness (nice-to-have) 3) Quality, Compliance & Audit Readiness
Drive adherence to SOPs, WIs, and control checks; ensure zero tolerance compliance items are met. Conduct regular audits/quality calibrations, coach for error reduction, and maintain documentation for governance. Ensure process alignment with HIPAA/privacy norms and internal data handling guidelines. 4) Performance Management & Coaching
Set clear expectations, conduct huddles/1:1s , and provide ongoing coaching on quality, productivity, and behaviors. Create development plans for team members; identify training needs and coordinate refreshers. Manage attendance, schedule adherence, and engagement

📌 Claims Supervisor (Bengaluru)
🏢 IN1 Cigna Health Solutions India Private
📍 Bengaluru