06 Sep
|
Cigna Healthcare
|
Bengaluru
06 Sep
Cigna Healthcare
Bengaluru
Claims Senior Supervisor – International Healthcare
Location: CHSI, Bengaluru, India
Reporting to: Claims Manager / Associate Director
Role Level: Senior Supervisor
Experience Required: 8–12 years (International Healthcare Claims Operations)
Role Purpose
As a Claims Senior Supervisor, you will play a critical leadership role within the international healthcare claims operation. You will be responsible for day‑to‑day supervision of claims processing teams, ensuring accuracy, turnaround time, compliance, and customer satisfaction across international markets.
You will lead a team of Claims Analysts/Processors (typically 15–30 FTE), acting as the first line of leadership, performance management, and issue resolution. The role requires robust domain expertise, people leadership skills, and the ability to drive operational discipline and continuous improvement in a regulated environment.
Key Responsibilities
1. Operational Delivery
Supervise end‑to‑end claims processing activities across international healthcare products.
Ensure adherence to SOPs, turnaround time (TAT), quality,
and productivity targets.
Monitor daily work queues, volumes, and ageing; proactively manage backlogs and risks.
Ensure accurate claim adjudication in line with policy terms, benefit structures, and regulatory requirements.
Escalate complex, high‑risk, or high‑impact issues to management with clear analysis and recommendations.
2. Quality & Compliance
Ensure compliance with internal controls, audit requirements, data privacy standards, and regulatory guidelines.
Conduct regular quality reviews, identify error trends, and implement corrective actions.
Support internal and external audits, responding to findings and driving closure of action items.
Reinforce strong documentation and process adherence within the team.
3. People Leadership
Lead, coach, and motivate a team of Claims Processors/Analysts.
Set clear performance expectations and conduct regular performance reviews and feedback sessions.
I
📌 Claims Senior Supervisor (Bengaluru)
🏢 Cigna Healthcare
📍 Bengaluru