Senior supervisor Work, Jobs in Partick, Glg (with Salaries)

Fraud Senior Supervisor
The Cigna Group —Glasgow
- Full-time
- English
- Analysis skills
- Medical terminology
9d
Senior Supervisor
VolkerWessels —Glasgow
- Annual leave
- Employee assistance programme
Field Care Supervisor (Care Team Lead) – Homecare
Alltogether Care Services LTD —Clydebank
- £30,000 a year
- Weekend availability
- Organisational skills
- IT
- In-person
- Free parking
- Paid training
Quick apply
7d
Shift Manager (Nights)
Lazy Day Foods Ltd —Harthill
- £40,000 - £45,000 a year
- Full-time
- Management
- Supervising experience
- Bakery
- Employee assistance programme
- Referral programme
Quick apply
11d
Delivery & Fleet Supervisor
Furnished Homes (Underley Furnishings Ltd) —East Kilbride
- From £31,724 a year
- Full-time
- Customer service
- Microsoft Office
- Administrative experience
Quick apply
Trainee Health Visitor
NHS Scotland —Stirling
- £52,845 - £61,466 a year
- Full-time
- Master's degree
- University
- Travel
- Annual leave
9d
Service Desk Team Leader - Glasgow Head Office
City Facilities Management (UK) —Glasgow
- Full-time
- Customer service
- Organisational skills
- Leadership
Full Time Supervisor, Kurt Geiger, Silverburn Glasgow
Kurt Geiger —Glasgow
- Full-time
- Communication skills
- Employee discount
Quick apply
Care Coordinator - Homecare / Domiciliary Care
Alltogether Care Services LTD —Clydebank
- £32,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- In-person
- Free parking
- Paid training
Quick apply
1d
Experienced Screen Printer / Print Operative
Bar One Clothing Ltd —Glasgow
- £25,350 - £31,200 a year
- Overtime
- English
- In-person
- Hand tools
- Employee discount
Quick apply
Regional Engineering Supervisor - BBC
Emcor —Glasgow
- £46,000 a year
- Overtime
- Customer service
- Engineering
- Team management
- Employee assistance programme
- Referral programme
Quick apply
Operations Delivery Supervisor
Network Rail —Springburn
- £42,663 a year
- Full-time
- Communication skills
- Annual leave
- Employee discount
11d
International Settlements Team Lead
Broadridge —Glasgow
- Full-time
- Microsoft Excel
- Microsoft Office
- Supervising experience
Site Agent / Senior Site Agent
AmcoGiffen —Cumbernauld
- £55,000 - £65,000 a year
- Full-time
- Civil engineering
- Engineering
- Organisational skills
- Life insurance
Quick apply
Senior Associate - Corporate Actions
Broadridge —Glasgow
- Full-time
- Microsoft Excel
- Microsoft Office
- Bachelor's degree
Senior Bars Manager
SWG3 —Glasgow
- £35,000 - £45,000 a year
- Weekend availability
- Bar
- Microsoft Office
- In-person
Quick apply
10d
Field Care Supervisor (Care Team Lead)
Alltogether Care Services —Clydebank
- £30,000 a year
- Weekend availability
- Organisational skills
- IT
- In-person
- Free parking
- Paid training
1d
Transport Supervisor
Evri —Motherwell
- £36,000 - £39,000 a year
- Full-time
- Management
- English
- Maths
Assistant Manager
Farmfoods —Clydebank
- £31,449.00 - £32,648.16 a year
- Weekend availability
- Management
- Annual leave
- Employee discount
Quick apply
3d
NEC Supervisor
Turner & Townsend —Glasgow
- Full-time
- Civil engineering
- Engineering
- Supervising experience
Quick apply

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Fraud Senior Supervisor

The Cigna Group -
Glasgow

Apply Now

Job details

Full-time
9 days ago

Qualifications

English
Analysis skills
Medical terminology
Communication skills
Negotiation

Full job description

The job profile for this position is Fraud Senior Supervisor, which is a Band 3 Management Career Track Role.

Role Summary:
As a Fraud Senior Supervisor within the Member Investigation Unit you will be directly supporting Cigna’s affordability commitment within Cigna Internationals businessand have specific responsibility for the quality and effectiveness of investigations into suspected member behaviours. This role is responsible for managing a team accountable for detecting and recovering FWA payments, creating solutions to prevent claims overpayment and future spend monitoring.This role will partner with internal stakeholders and specifically Client Management Teams to demonstrate good practice anti-fraud services, compliance with global regulatory and legislative requirements and willmaintain integrity of all investigative data and reports. He/ She will work closely with other PI team members, Medical Economics, Data Analytics, Claims Operations, Clinical partners and Product.

Responsibilities:

Lead the Member Investigation Team who are responsible for identifying and preventing fraudulent, wasteful and abusive expenses within Cigna’s International Business Market ensuring team targets and KPIs are met.
Works closely with PI FWA senior management to understand strategy and is responsible for executing departmental plans and priorities.
Responsible for representing the Payment Integrity function when engaging with external clients and reporting to and informing clients of their fraud risks.
Accountable for managing internal stakeholder relationships.
Coach, support and provide appropriate case guidance, to Investigators ensuring compliance with investigation standard operating models.
Ensure department KPIs are met through effective monitoring and reporting mechanisms; ensure PI savings are tracked and reported accurately.
Executes strategic initiatives, plans, and goals in alignment with department KPIs and financial targets.
Effectively use business intelligence and data analytics to monitor PI FWA regional claim patterns and identify opportunities for PI intervention and liaises with the Data Analytics team to develop FWA rulesets.
Ensures Payment Integrity processes are in compliance with legal, regulatory and contractual requirements.
Acts with urgency when there is an elevated risk of fraud against Cigna and its customers and clients.
Ensures investigative findings are documented and that all communications with clients are fact based and professional.
Assess work demand against capacity to ensure optimum claim referrals across all referral routes; create solutions, drive execution and ensure timeliness and accuracy of PI claims review process, loss prevention and recovery activity.
Instils work culture of continuous process improvement, innovation, and quality.
Oversee departmental personnel matters; evaluating staff performance and conducting performance appraisals for all direct reports. Ensure adherence to company practices and procedures.
Recommends changes in policy and procedures in order to mitigate risk and participates in projects to improve business protocols.
Provides input into workforce planning and recruitment activities and addresses resource and operational challenges.
Working closely with other departments to ensure Payment Integrity activities do not have an unnecessary negative impact on our customers.

Skills and Requirements:

Experience of leading operational teams. You should enjoy working in a team of high performers, who hold each other accountable to perform to their very best
An accredited counter fraud qualification.
Minimum of 5 years of health insurance or international health care provider experience.
Experience of operational risk management, including internal and external risk and compliance reporting.
Knowledge of claims coding, regulatory rules and medical policy.
Medical/ paramedical qualification is a definite plus.
Customer Focus – dedicated to meeting the expectations and requirements of internal and external customers, excellent at building effective relationships and gaining trust and respect.
Passive knowledge of medical terminology and treatment modalities.
Critical mind-set with ability to identify cost containment opportunities.
Strong reporting and analytical skills with ability to create and improve reporting packs and methodologies with some support.
An experience with data analytics tool(s) is a strong asset.
Excellent verbal and written communication, interpersonal and negotiation skills.
Ability to balance multiple priorities at once and deliver on tight timelines.
Flexibility to work with global teams and varying time zones effectively.
Confidence to deal with internal stakeholders and ability to work with a cross functional team.
Strong organization skills with the ability to juggle priorities and work under pressure to meet tight deadlines.
Fluency in foreign languages in addition to fluent English is a strong plus.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourselfEMEAcigna.com for support. Do not emailSeeYourselfEMEAcigna.com for an update on your application or to provide your resume as you will not receive a response.

Apply Now

Refine Your Search

senior supervisor jobs in partick, glg

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