Opportunity Description
**Role Overview**
The Claims Supervisor is accountable for the accurate, timely, and compliant adjudication of health and benefits claims in line with contractual benefits, regulatory requirements, and company policies.
The role provides day‑to‑day people leadership, technical oversight, and quality governance to ensure consistent delivery against key performance indicators (KPIs), including turnaround time (TAT), accuracy, service level agreements (SLAs), and performance guarantees. The Supervisor plays a critical role in strengthening service quality, mitigating operational and financial risk, and driving continuous improvement.
**Key Responsibilities**
**Claims Delivery & Governance**
+ Oversee end‑to‑end claims adjudication to ensure accuracy, consistency, and compliance with policies, procedures, and benefit rules.
+ Ensure claims are processed within agreed SLAs by monitoring daily workloads, redistributing work as required, and pro...
The Claims Supervisor is accountable for the accurate, timely, and compliant adjudication of health and benefits claims in line with contractual benefits, regulatory requirements, and company policies.
The role provides day‑to‑day people leadership, technical oversight, and quality governance to ensure consistent delivery against key performance indicators (KPIs), including turnaround time (TAT), accuracy, service level agreements (SLAs), and performance guarantees. The Supervisor plays a critical role in strengthening service quality, mitigating operational and financial risk, and driving continuous improvement.
**Key Responsibilities**
**Claims Delivery & Governance**
+ Oversee end‑to‑end claims adjudication to ensure accuracy, consistency, and compliance with policies, procedures, and benefit rules.
+ Ensure claims are processed within agreed SLAs by monitoring daily workloads, redistributing work as required, and pro...
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