Claims Supervisor - Provider Claims & Adjustment

YOUR JOB

As a Supervisor you will support the Senior Supervisor in managing a team of Provider Claims Representatives. Key to the role will be developing and coaching the team to deliver a high-quality customer centric service offering.

Your role includes:

• Accountable to review and assess inventory levels coordinating daily allocations and planning ahead to maximize staffing levels to maximize results.
• Accountable to ensure that productivity, quality and customer satisfaction, are managed within own team and motivation of the individuals and team to achieve the operational KPI’s; Attend KPI calls can help you to achieve this.
• Recommending and implementing innovative strategies to improve efficiency and provide excellent customer service.
• Being proactive in identifying improvement/enhancement opportunities and be active in seeking and sharing ideas for innovation in business processes.
• Being responsible for follow-up of capacity planning and absences in close cooperation with HR.
• Ensure strong employee engagement within the team, including day to day oversight, motivation, conflict management, training, wellbeing and performance by providing coaching and skill development in collaboration with the Claims Management Team.
• Ensure appropriate performance management actions are taken.
• Having quarterly check-in conversations with all team members
• Promote a culture of continuous improvement and be fully responsible for the implementation of new Operating Model and the measurement of the results in alignment with the broader PSO Strategy and in coordination with the Management Team.
• Taking ownership of any escalated claims and provide updates to the Senior Supervisor on any issues.
• Proactively address and/or escalate any operational risks.
• Developing/maintaining proactive/effective business relationships, both internally and externally to ensure a seamless delivery of service. Actively encourage all team members to do likewise (e.g. Cigna links).
• Handle financial verification as per agreed process.

YOUR PROFILE

• Strong performance track record.
• International mind-set, and able to work remotely with peers across locations.
• Relevant leadership experience in other functions/companies.
• Knowledge in relation to Provider claims will be a plus.
• Experience in and passion for coaching, managing, developing and motivating individuals and the team.
• Experience in complaint management - with a proven track record in improving customer service standards.
• Strong presentation skills, and knowledge of Window Office tools like Word, Outlook, Excel, PowerPoint.
• A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
• Excellent interpersonal skills: strong empathy and listening skills, strong articulation and communications skills.
• Striving for excellent service to our members, clients and providers is part of your DNA.
• Competency to build a team and create an atmosphere of positive collaboration, innovation and creative solutions among the team members.
• Action-orientated problem-solving attitude.
• Excellent organization, planning and prioritization skills.
• Able to seek out best practice in order to effectively deal with diverse, complex and highly sensitive issues.
• Results orientated – ability to cascade and explain goals, establish plans and manage work to achieve desired outcomes.
• Create meaningful business-related metrics and track progress/results.
• Accountability – assume ownership for achieving personal results and collective team goals.