Claims Senior Supervisor- Evernorth- Remote

Claims senior supervisors are responsible for leading and managing a team of 20+ Claims Representatives in one of the claim adjudication platforms. The senior supervisor will manage claim inventory, staffing capacity (including interviewing, reviewing/entering time, approving PTO based on business requirements), and coaching employee performance based on eMOS metrics and employee behavioral characteristics. Senior supervisor will lead improvement initiatives, workflow redesigns, and staffing capacity discussions to optimize performance across teams. Senior supervisors are expected to facilitate daily, weekly, and monthly team and individual huddles to provide updates, answer questions, and to optimize overall performance.

Responsibilities

• Manages the daily claim operations of assigned team of 20+ Claim Representatives.
• Demonstrates managerial courage in difficult employee and peer conversations to improve operational metrics.
• Collaborates with matrix partners to manage claim inventory and staffing capacity to meet internal claim level expectations.
• Facilitates performance management conversations with direct reports to maintain/improve productivity and quality requirements.
• Facilitates, as necessary, performance improvement plans while utilizing objective metrics/performance and recommendations from support teams (e.g., SMEs, Coaching, Quality).
• Facilitates daily, weekly, and monthly individual and team meetings to develop an inclusive, productive, and performance driven culture.
• Utilizes an Enterprise Management Operating System (eMOS) and other reporting tools daily to review key performance, productivity, and quality metrics to influence individual and team performance. 
• Facilitates the development of policies, procedures, and knowledge exchange articles to ensure consistency and accuracy of processes.
• Develops the capability of direct reports by identifying strengths/weaknesses, then providing the appropriate level of direct mentoring and uses other support teams (e.g., quality, coaching, training) to increase performance and quality.
• Complete daily conversations with direct reports to identify challenges/barriers and problem solves to minimize barriers to meeting productivity and quality metrics.
• Facilitates administrative supervisory functions related to compensation planning, employee relations communication/coordination, leave of absence submission, time keeping, and all other related company initiatives.
• Mentors the development of new supervisors and matrix partners to create efficiencies and increase performance and quality outcomes.
• Leads improvement initiatives to improve overall performance.
• Develop into a backfill for the manager with inventory, capacity, and other strategic planning and development.

Requirements

• High School Diploma or GED required.
• At least 3 years of direct experience managing employees working in claims processing, inventory, and capacity planning roles.
• At least 1 year of eMOS experience and/or using metric driven performance management (e.g., MOS) to coach employees in productivity and/or quality.  
• Possess leadership characteristics to inspire, motivate, and influence people to optimize operational key performance indicators.
• Excellent communication, interpersonal and negotiation skills.
• Ability to influence and drive change to improve processes and outcomes.
• Ability to quickly learn new skills, processes, applications, and workflows.
• Demonstrated ability to identify improvement opportunities and lead initiatives to improve performance.
• Ability to quickly solve problems with limited information to resolve barriers or employee/team issues.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 66,500 - 110,800 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.