Manager Claims Team - Remote

Cigna Healthcare
1dRemote

About The Position

Position Summary The Claims Manager leads the day-to-day operations of the claims organization, managing Claim Supervisors and/or Project Lead Analysts. This role partners closely with internal stakeholders and Global Service Partners (GSPs) to ensure appropriate staffing, inventory control, quality outcomes, and achievement of performance metrics across assigned claim platforms. Key Responsibilities Lead and develop Claim Supervisors, ensuring performance aligns with established KPIs, quality standards, and processing timelines. Drive efficient inventory management to meet time-to-process, quality, and LPI goals. Partner with Global Service Partners to achieve SLA commitments and operational objectives. Collaborate with workforce management to balance staffing levels and operating expenses. Analyze eMOS and operational data to identify trends, remove barriers, and improve efficiency. Coach, mentor, and develop high-performing teams while supporting talent development, engagement, and retention. Demonstrate managerial courage in performance management and deliver clear, transparent communication. Communicate effectively with senior leaders and ensure timely, accurate information flow to staff.

Requirements

  • High School Diploma or GED required.
  • 2+ years of Senior Supervisory experience highly preferred.
  • 4+ years of Claims Management experience, including metrics management, quality oversight, auto-adjudication, performance guarantees, and eMOS preferred.
  • Proven experience partnering with Global Service Partners.
  • Demonstrated ability to manage capacity, staffing, and inventory.
  • Strong written, verbal, and data visualization communication skills.
  • Proven change leadership, problem-solving skills, and ability to influence teams.
  • If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Nice To Haves

  • Bachelor’s degree preferred.

Responsibilities

  • Lead and develop Claim Supervisors, ensuring performance aligns with established KPIs, quality standards, and processing timelines.
  • Drive efficient inventory management to meet time-to-process, quality, and LPI goals.
  • Partner with Global Service Partners to achieve SLA commitments and operational objectives.
  • Collaborate with workforce management to balance staffing levels and operating expenses.
  • Analyze eMOS and operational data to identify trends, remove barriers, and improve efficiency.
  • Coach, mentor, and develop high-performing teams while supporting talent development, engagement, and retention.
  • Demonstrate managerial courage in performance management and deliver clear, transparent communication.
  • Communicate effectively with senior leaders and ensure timely, accurate information flow to staff.

Benefits

  • Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
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