Senior supervisor Work, Jobs in Scotland (with Salaries)

Fraud Senior Supervisor
The Cigna Group —Glasgow
- Full-time
- English
- Analysis skills
- Medical terminology
10d
Senior Supervisor
VolkerWessels —Glasgow
- Annual leave
- Employee assistance programme
Senior Buyer
Abbott Laboratories —Dundee
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- ERP systems
8d
Senior Site Manager
Murphy Group —Scotland
- Civil engineering
- Engineering
- Contracts
- Annual leave
- Employee discount
People Business Partner - Hybrid
Had Fab —Tranent
- £45,000 - £50,000 a year
- Full-time
- Hybrid work
- Management
- Analysis skills
- Continuous improvement
Quick apply
Senior Housekeeping Supervisor
FAIRMONT —St. Andrews
- Weekend availability
- Hotel
- Supervising experience
- Team management
- Employee discount
Quick apply
Operations Delivery Supervisor
Network Rail —Springburn
- £42,663 a year
- Full-time
- Communication skills
- Annual leave
- Employee discount
12d
Regional Childcare Services Manager
Ali Family Childcare Services Ltd —Dumfries
- £32,260.22 - £68,968.43 a year
- Full-time
- Childcare
- Management
- Supervising experience
Quick apply
Contracts Manager
Gowrie Contracts Limited —Dundee
- £55,000 - £60,000 a year
- Full-time
- Project management
- Organisational skills
- Contracts
- Free parking
Quick apply
5d
Senior Addiction Nurse - Alcohol and Drug Recovery Service (ADRS)
NHS Scotland —Glasgow
- £43,231 - £52,679 a year
- Part-time
- Nursing
- Annual leave
- Employee assistance programme
8d
Trainee Health Visitor
NHS Scotland —Stirling
- £52,845 - £61,466 a year
- Full-time
- Master's degree
- University
- Travel
- Annual leave
10d
Security Advisor
AGS Airports —Aberdeen
- £38,184.09 a year
- Full-time
- Supervising experience
- Communication skills
- Free parking
- Employee assistance programme
International Settlements Team Lead
Broadridge —Glasgow
- Full-time
- Microsoft Excel
- Microsoft Office
- Supervising experience
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
12d
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
Site Agent / Senior Site Agent
AmcoGiffen —Cumbernauld
- £55,000 - £65,000 a year
- Full-time
- Civil engineering
- Engineering
- Organisational skills
- Life insurance
Quick apply
Transport Supervisor
Evri —Motherwell
- £36,000 - £39,000 a year
- Full-time
- Management
- English
- Maths
Senior Sales Assistant (Supervisor)
Bayne's the Family Bakers —Dundee
- £13.20 an hour
- Part-time
- Bakery
- Cash handling
- Communication skills
- Employee discount
10d
Senior Associate - Corporate Actions
Broadridge —Glasgow
- Full-time
- Microsoft Excel
- Microsoft Office
- Bachelor's degree
Maintenance Supervisor
Dynamic Earth —Edinburgh
- £27,500 - £33,000 a year
- Full-time
- Maintenance
- Hotel
- Administrative experience
- Free parking
- Store discount
Quick apply

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Fraud Senior Supervisor

The Cigna Group -
Glasgow

Apply Now

Job details

Full-time
10 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 scotland

Fraud Senior Supervisor

Senior Supervisor

Senior Buyer

Senior Site Manager

People Business Partner - Hybrid

Senior Housekeeping Supervisor

Operations Delivery Supervisor

Regional Childcare Services Manager

Contracts Manager

Senior Addiction Nurse - Alcohol and Drug Recovery Service (ADRS)

Trainee Health Visitor

Security Advisor

International Settlements Team Lead

Shift Manager (Nights)

Delivery & Fleet Supervisor

Site Agent / Senior Site Agent

Transport Supervisor

Senior Sales Assistant (Supervisor)

Senior Associate - Corporate Actions

Maintenance Supervisor

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