Supervisor, Claim Operations (aetna International)

✨ About The Role

- The Operations Supervisor will manage the workflow processing and completion of claims within the department to ensure efficiency and timeliness. - This role involves implementing and maintaining quality control processes to guarantee accuracy and consistency in claim processing. - The supervisor will analyze key performance indicators (KPIs) to assess productivity and quality, preparing regular performance reports for management. - The position requires collaboration with cross-functional teams to streamline and improve claim processing procedures through automation and system upgrades. - The supervisor will also assist in budget development by monitoring expenses and recommending cost-saving measures while maintaining service quality.

⚡ Requirements

- The ideal candidate will have 3-5 years of experience in the healthcare industry, demonstrating a solid understanding of healthcare operations. - A successful applicant will possess 1-3 years of experience leading a team of 10 or more direct reports, showcasing strong leadership skills. - The candidate should have effective communication skills to advise team members and resolve complex claims issues. - Critical thinking and root cause analysis skills are essential for analyzing key performance indicators and improving claim processing procedures. - The individual should be proficient in Microsoft tools, Power BI, and have experience in a high-performing production-based environment.