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Quality Review and Audit Supervisor

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The Cigna Group

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Location:
India , Bengaluru

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Category:
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Contract Type:
Not provided

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Salary:

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Job Description:

This candidate will be responsible for leading a team of quality auditors. This candidate will supervise the day-to-day operations activities, and assist in hiring, training, and reviewing performance of staff. Review, evaluate, and resolve inventory concerns. Participates in efforts to identify operational improvement opportunities that have a direct impact on the customer, provider, or vendor partner. Meets operational standards by contributing information to strategic plans and reviews; implementing production, productivity, quality, and customer-service standards; resolving problems; identifying claim processing efficiencies and improvements.

Job Responsibility:

  • Lead a team of quality auditors
  • Supervise day-to-day operations activities
  • Assist in hiring, training, and reviewing performance of staff
  • Review, evaluate, and resolve inventory concerns
  • Participate in efforts to identify operational improvement opportunities that have a direct impact on the customer, provider, or vendor partner
  • Meet operational standards by contributing information to strategic plans and reviews
  • implementing production, productivity, quality, and customer-service standards
  • resolving problems
  • identifying claim processing efficiencies and improvements
  • Always be a leader to the operations team to ensure timely and quality outcomes in all systems
  • Partner with Operations Managers, Quality Reviewers, Business Owners, and Coaches to ensure negative customer experiences are assigned appropriately and feedback is shared
  • Demonstrate the flexibility needed to ensure superior client and customer experience while keeping compliance at the forefront of all we do
  • Provide innovative ideas that demonstrate outside-the-box thinking
  • Willingness to lead improvement initiatives even if outside of their comfort zone
  • Communicate effectively with team, peers and key business partners that build meaningful and productive relationships
  • Initiate individual coaching plans as necessary

Requirements:

  • Overall 8+ years of experience in Healthcare Claim Adjudication process (in that min. 2 years of team management experience)
  • US & International claims processing experience preferred
  • Exceptional verbal and written communication skills
  • People management experience and experience in an inventory management environment with respect to turnaround time and quality required
  • Experience providing feedback and conducting performance coaching sessions
  • Knowledge of Claims processing
  • Seeking opportunities for efficiency and process improvement in all aspects of the organization
  • Intermediate knowledge of Microsoft Office products, including Excel, Access, Word and Outlook
  • Ability to prioritize work and work independently while managing time effectively
  • Able to multitask when necessary
  • Ability to independently identify a problem and conduct the necessary research to locate a solution

Additional Information:

Job Posted:
March 20, 2026

Work Type:
On-site work
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