Intake Care Supervisor @ Cigna

The Intake Care Supervisor directs the activities of staffs who are adjudicating and finalizing Pre-authorizations. As a subject matter expert to take an initiative in assisting team requirements pertaining to the operational software and tasks related to the policy coverage terms.

RESPONSIBILITIES AND DUTIES

• Perform job supervisory duties to assure proper training, instructions, and development of staff.
• Control cost by all permissible, equitable, fair means.
• Closely coordinate with the Reporting Manager on staff performance reviews and leave scheduling;
• Delegate and oversee activities performed by claims examiners.
• Daily monitoring of pipelines and queues.
• Identify training requirements within the team and perform training sessions.
• Responsible in maintaining the assigned TAT of the respective teams and ensuring the optimal utilization of resources.
• Address any internal grievances and escalate to reporting manager if required.
• Responsible for reporting of identified Fraud, Waste and Abuse trends and escalating to concerned parties
• Escalate any identified software issues to the reporting manager and IT POC as required.
• Identify gaps in performance and offer coaching to officers as needed.
• Proper communication and identifying training requirements within the team.
• Strictly applies reporting managers directions.
• Carry out any other related functions as directed by the company management.

KNOWLEDGE, SKILLS AND EXPERIENCE

• University degree in any discipline of medical/Para-medical science from a reputable university.
• Strong industry knowledge (healthcare / insurance).
• Should be a team-player with an aptitude for customer service.
• Excellent oral and written communication skills.
• Must be computer literate.
• Excellent command of the English language.
• Ability to work under pressure.
• 5+ years experience in the healthcare industry / hospitals.
• Business acumen, persuasive skills and ability to lead a team.
• Strong decision-making ability; Good understanding of internal processes and software systems.