Technical Coaching Lead Representative - Cigna Healthcare

As a Technical Coaching Lead Representative, you will be responsible for providing technical/procedural coaching and support for an assigned teams of claims processors.  You would analyze trending along with Key Performance Indicators (KPIs) to develop ongoing targeted performance plans while partnering with the Claims Supervisors.  You would also complete one on one and group coaching sessions with your assigned processors designed to support process improvement for metrics, technical skills, and soft skills.  You will have opportunities to support the needs of real time resources, with flexibility to support new hire and other areas within the department such as helping with training or working as a SME.

This is an excellent opportunity for someone with claims processing experience and a passion to help their team while growing their skills in leadership, coaching, and various systems.”

• Provides support for questions; timely, efficient, accurate responses.
• Supports, educates and reinforces the consistent claim process flow.
• Facilitation of training delivery for specified current and/or new information.
• Supports and drives process improvement to further enhance claim accuracy outcomes.
• Accountable for the team’s overall quality results.
• Engagement and partnership with aligned supervisor toward overall quality improvement and service strategy.
• Engagement and partnership with aligned team toward overall quality improvement via team huddles; team meetings; coaching and training sessions.

• Minimum 2 years of technical claim processing knowledge application to the Diamond specific processing system
• Currently meeting or exceeding Key Performance Indicator Metrics of current role.
• Strong KnowledgeXchange research capability
• Customer Service Driven; ability to meet and exceed the internal partner and external customer expectations.
• Take accountability in critical thinking and decision-making outcomes.
• Problem solving skills; utilization of technical skills and resources to ensure accuracy of final claim resolution.
• Strong communication and presentation skills, both verbal and written
• Demonstrated ability to teach, educate, coach others through a variety of claim complexities.
• Process improvement skills: ability to assess trends, processes, and barriers to drive positive outcomes for claim resolutions.
• Fluent understanding and application of key tools and resources for claim processing.
• Comfortable working with others in multiple locations; office and work at home.