Claims Senior Supervisor- Evernorth- Remote
Tennessee Work at Home, United States
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 …
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Holidays Internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload Internet connection required Tobacco-free policy
Benefits/PerksAnnual bonus Annual bonus plan Behavioral health programs Company Paid Life Insurance Comprehensive range of benefits Dental Employee benefits Flexible schedule Health-related benefits Life Insurance Medical Minimum of 18 days of paid time off per year Paid holidays Paid Time Off Professional development opportunities Tuition reimbursement Vision Well-being and behavioral health programs Work From Home
Tasks- Coordination
- Develop policies and procedures
- Improve processes
- Lead initiatives
- Optimize performance
- Strategic Planning
Administrative Behavioral health Business Capacity planning Cigna Claims management Claims processing Coaching Communication Healthcare Health Services Insurance Interpersonal Interviewing Leadership Management Mentoring Metrics Negotiation Operations Performance Management Planning Problem-solving Reporting Reporting tools Strategic planning Team Leadership Training
Experience3 years
EducationBusiness Communication DO GED Healthcare High School High school diploma
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9