The Claims Supervisor position at Express Scripts in Bengaluru requires a candidate with at least 10 years of experience in healthcare operations, particularly in claims processing, eligibility maintenance, and member onboarding. The role involves leading teams to ensure accurate operations while adhering to compliance and quality standards
Job Summary
This role supervises end-to-end healthcare operations including claims processing, adjustments, eligibility, and member onboarding to ensure accuracy and compliance.
The supervisor leads a team of 10-20 professionals, setting performance expectations and driving a culture of accountability and continuous improvement.
Success in this position requires minimizing rework and leakage while meeting strict SLAs, quality targets, and customer experience goals in a regulated environment.
Matching Summary
Match Score: 85
The Claims Supervisor position at Express Scripts in Bengaluru requires a candidate with at least 10 years of experience in healthcare operations, particularly in claims processing, eligibility maintenance, and member onboarding. The role involves leading teams to ensure accurate operations while adhering to compliance and quality standards.
Skills & Requirements
Must-have
10 years healthcare operations experience
Claims processing and adjudication expertise
Eligibility and group setup knowledge
Team leadership of 10-20 FTEs
SLA and quality metric management
Nice-to-have
Root cause analysis skills
Process improvement mindset
Cross-functional stakeholder collaboration
Change management capabilities
Data-driven decision making
Key Requirements
10 years of healthcare operations experience
1-3 years in a Team Lead or Supervisory role
Hands-on exposure to claims and eligibility processes