Claim Quality Review and Audit Supervisor

At Cigna, we are looking for a motivated and highly organized professional to join our team as a Claim Quality Review and Audit Supervisor. This individual will be responsible for overseeing the entire audit and review process to ensure Cigna's claim quality standards are met. The successful candidate will have an eye for detail, excellent communication skills, and the ability to think analytically. To be successful in this role, you must have a minimum of 5-7 years' experience in quality review or audit, preferably in the health insurance industry. In addition, you must have a bachelor's degree in a related field and a strong working knowledge of relevant quality management systems. A thorough understanding of Cigna's business processes and operations is essential. We are looking for a leader who is proactive, has strong problem-solving skills, and is comfortable working with a variety of stakeholders. If this sounds like you, please apply today!

Responsibilities:

Oversee the entire audit and review process to ensure Cigna?s claim quality standards are met.

Maintain a thorough understanding of Cigna?s business processes and operations.

Analyze data to identify areas of improvement and recommend strategies for enhancing quality.

Monitor and evaluate the performance of audit and review staff.

Work with a variety of stakeholders, including management, vendors, and customers.

Develop and implement quality control systems and processes.

Prepare and present detailed reports and analysis.

Ensure compliance with relevant laws and regulations.

Provide guidance and support to staff to ensure quality assurance standards are met.

Stay current on industry trends and best practices.

Cigna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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