Claims Supervisor
The Cigna Group —Bengaluru, Karnataka
- Full-time
- Microsoft Excel
- Analysis skills
- Supervising experience
Clinic Supervisor - Medication Management
Optum —Bengaluru, Karnataka
- Full-time
- Management
- Project management
- Bachelor's degree
- Health insurance
Claims Management New Associate
Accenture —Bengaluru, Karnataka
- Full-time
Claims Representative
The Cigna Group —Bengaluru, Karnataka
- Weekend availability
- Microsoft Office
- Bachelor's degree
- Organizational skills
- Health insurance
Health Admin Services Associate
Accenture —Bengaluru, Karnataka
- Full-time
Order to Cash Operations New Associate
Accenture —Bengaluru, Karnataka
- Full-time
Medical Claims Processor Specialist
ContactPoint360 —Bengaluru, Karnataka
- Full-time
- English
- Bachelor's degree
Health Admin Services New Associate
Accenture —Bengaluru, Karnataka
- Full-time
Billing and Eligibility Leader
PeopleLogic —Bengaluru, Karnataka
- ₹65,00,000 an hour
- Analysis skills
- Communication skills
Quick apply
Trainee Consultant Process
US Healthcare Process —Bengaluru, Karnataka
- From ₹3,20,000 a year
- Full-time
- Customer service
- English
- Microsoft Office
Quick apply
21h
Accounts Payable
Tata Consultancy Services —Bengaluru, Karnataka
- Full-time
- Finance
- Master's degree
- 12th Pass
Specialist-Quality
Sagility —Bengaluru, Karnataka
8d
Supply Chain Operations Analyst
Accenture —Bengaluru, Karnataka
- Full-time
- English
- Windows
- Math
Underwriting New Associate
Accenture —Bengaluru, Karnataka
- Full-time
Accounts Receivable Assistant-2
Columbia Sportswear Company —Bengaluru, Karnataka
- Full-time
- Remote
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
key account Manager - Regional Modern trade
Sunshine Workforce Solutions —Bengaluru, Karnataka
- ₹14,00,000 a year
- Full-time
- Presentation skills
- Bachelor's degree
Quick apply
Order to Cash Operations Associate
Accenture —Bengaluru, Karnataka
- Full-time
- English
- Finance
- Accounting
Senior Executive - AFR Export Operations
DHL —Bengaluru, Karnataka
- Customer service
- Bachelor's degree
- Business Administration
9d
HR Service Delivery Associate
Accenture —Bengaluru, Karnataka
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Microsoft Office
13d
HR Service Delivery New Associate
Accenture —Bengaluru, Karnataka
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Microsoft Office
7d

I want to receive the latest job alerts for claims supervisor in bengaluru karnataka

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims supervisor jobs near bengaluru karnataka

Shift Leader jobs in Bengaluru, Karnataka

Operations Associate jobs in Bengaluru, Karnataka

Claims Associate jobs in Bengaluru, Karnataka

Underwriter jobs in Bengaluru, Karnataka

Quality Specialist jobs in Bengaluru, Karnataka

Operations Administrator jobs in Bengaluru, Karnataka

Key Account Manager jobs in Bengaluru, Karnataka

Supply Chain Analyst jobs in Bengaluru, Karnataka

Site Supervisor jobs in Chennai, Tamil Nadu

Housekeeping Supervisor jobs in Coimbatore, Tamil Nadu

Bds,non Clinical jobs in Delhi, Delhi

Housekeeping Supervisor jobs in Goa

Accounts Payable Clerk jobs in Nandambakkam, Chennai, Tamil Nadu

Accounts jobs in Hebbal, Bengaluru, Karnataka

Hcl Company, Accounts Payable jobs in Lucknow, Uttar Pradesh

Accounts Payable Clerk jobs in Prashant Vihar, Delhi, Delhi

Accounts jobs in Tiruppur, Tamil Nadu

Hotel Accounts jobs in Chennai, Tamil Nadu

Accounts Payable Clerk jobs in Viman Nagar, Pune, Maharashtra

Accounts Payable Clerk jobs in Chandigarh, Chandigarh

Claims Supervisor

The Cigna Group -
Bengaluru, Karnataka

Apply Now

Job details

Full-time

Qualifications

Microsoft Excel
Process improvement
Analysis skills
Supervising experience
Communication skills

Full job description

Job Description

Claims Supervisor – Claims, Adjustments, Eligibility, Member Onboarding & Group Setup

Location: CHSI, Bengaluru, India
Reporting to: Senior Supervisor / Manager Operations
Role Level: Supervisor
Experience Required: 10 years (Healthcare Operations)

Role Purpose

As a Claims Supervisor, you will be responsible for supervising and coordinating end‑to‑end healthcare operations across claims processing, claim adjustments, eligibility maintenance, member onboarding, and group setup. You will lead frontline teams to ensure accurate member and group configuration, timely claims adjudication, compliant adjustments, and seamless downstream processing, while meeting SLA, quality, and customer experience targets.

This role plays a critical role in ensuring upstream accuracy (eligibility, onboarding, group setup) and downstream effectiveness (claims and adjustments), minimizing rework, leakage, and member/provider dissatisfaction in a regulated healthcare environment.

Key Responsibilities

1. Operational Supervision

Supervise daily operations across:
- Claims processing and adjudication
- Claim adjustments and reprocessing
- Eligibility maintenance and updates
- Member onboarding and coverage activation
- Group setup, renewals, and benefit configuration
Allocate work, monitor queues, volumes, and ageing across processes.
Ensure adherence to SOPs, business rules, benefit structures, and SLAs.
Proactively identify and address backlogs, errors, and operational risks.
Coordinate dependencies across upstream and downstream workflows.

2. Quality, Accuracy & Compliance

Ensure high accuracy in member eligibility, group setup, and benefit configuration to prevent claim errors and rework.
Monitor claims and adjustments for correct application of benefits, pricing, and policy rules.
Conduct regular quality checks, audits, and case reviews.
Identify error trends, perform root‑cause analysis, and drive corrective actions.
Ensure compliance with healthcare regulations, audit requirements, data privacy standards (HIPAA/GDPR as applicable), and internal controls.

3. People Leadership

Lead and support a team of Claims Processors, Eligibility Analysts, and Onboarding Specialists (typically 10–20 FTE).
Set clear performance expectations and provide ongoing coaching and feedback.
Support new hire onboarding, training, and cross‑skilling across processes.
Conduct regular performance discussions and contribute to formal reviews.
Build a culture of accountability, collaboration, quality, and customer focus.

4. Performance Management & Reporting

Track daily and weekly performance against productivity, SLA, TAT, quality, and adjustment metrics.
Prepare and share operational dashboards and reports with Senior Supervisors / Managers.
Monitor rework, adjustment volumes, and upstream error leakage.
Use data to highlight risks, trends, and improvement opportunities.
Drive focused action plans to close performance gaps.

5. Process Improvement & Change Support

Identify opportunities to improve process efficiency, first‑time‑right outcomes, and member experience.
Participate in process improvement, standardisation, and automation initiatives.
Support implementation of new products, benefit changes, group renewals, and system enhancements.
Act as a change champion, ensuring smooth adoption within the team.

6. Stakeholder Collaboration

Work closely with Quality, Training, Claims, Enrollment, Configuration, Technology, and Onshore Teams.
Coordinate issue resolution related to eligibility errors, group setup defects, and claim reprocessing.
Provide timely operational updates, risks, and dependency insights to leadership.

Your Profile

Experience

10 years of experience in healthcare operations, with hands‑on exposure to:
- Claims processing and adjustments
- Eligibility and enrollment
- Member onboarding
- Group setup / benefit configuration
1–3 years in a Team Lead or Supervisory role.
Experience working in high‑volume, SLA‑driven healthcare environments.
Strong understanding of end‑to‑end healthcare operations and interdependencies.

Skills & Capabilities

Solid understanding of claims adjudication, benefit interpretation, eligibility rules, and adjustments.
Working knowledge of group setup, benefit plans, and configuration accuracy.
Strong analytical and problem‑solving skills.
Proficiency in Excel and operational reporting tools.
Ability to manage multiple workflows and competing priorities.
Clear and effective communication skills.
Hands‑on experience with healthcare systems and workflow tools.

Behavioural Attributes

Results‑oriented with strong ownership and attention to detail.
Quality‑focused with a compliance mindset.
Calm under pressure and effective in operational issue resolution.
Collaborative, approachable, and supportive leader.
Adaptable and open to change with a continuous improvement mindset.
High integrity and customer‑centric approach.

Key Competencies

Frontline people leadership
Operational execution & discipline
Quality and compliance focus
Cross‑process coordination
Data‑driven performance management
Problem solving & root‑cause analysis
Stakeholder collaboration
Change adaptability

About The Cigna Group

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Apply Now

Refine Your Search

claims supervisor jobs in bengaluru karnataka