Quality Review and Audit Supervisor

Job Description/Responsibilities:
- Participates in efforts to identify operational improvement opportunities that have a direct impact on the customer, provider, or vendor partner.
- Meets operational standards by contributing information to strategic plans and reviews; implementing production, productivity, quality, and customer-service standards; resolving problems; identifying claim processing efficiencies and improvements.

Expectations:
- Always be a leader to the operations team to ensure timely and quality outcomes in all systems.
- Partner with Operations Managers, Quality Reviewers, Business Owners, and Coaches to ensure negative customer experiences are assigned appropriately and feedback is shared.
- Demonstrate the flexibility needed to ensure superior client and customer experience while keeping compliance at the forefront of all we do.
- Provide innovative ideas that demonstrate outside-the-box thinking.
- Willingness to lead improvement initiatives even if outside of their comfort zone
- Communicate effectively with team,



peers and key business partners that build meaningful and productive relationships.
- Initiate individual coaching plans as necessary

Qualifications:
- Overall 8+ years of experience in Healthcare Claim Adjudication process (in that min. 2 years of team management experience). US & International claims processing experience preferred.
- Exceptional verbal and written communication skills
- People management experience and experience in an inventory management setting with respect to turnaround time and quality required
- Experience providing feedback and conducting performance coaching sessions
- Knowledge of Claims processing
- Seeking opportunities for efficiency and process improvement in all aspects of the organization.
- Intermediate knowledge of Microsoft Office products, including Excel, Access, Word and Outlook
- Ability to prioritize work and work independently while managing time e

📌 Quality Review and Audit Supervisor (Bengaluru)
🏢 The Cigna Group
📍 Bengaluru