Healthcare · Full-time
Direct employerClaims Representative- Cigna Healthcare
Published by employer
About this role
Role overview
Main Duties/Responsibilities: Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high cost claims and ensure relevant parties are aware. Monitor turn around times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first call resolution where possible. Interface effectively with internal and external customers to resolve customer issues.
Identify potential proce
Read full role
Full role details
ss improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Work across European business in line with service needs. Carry out other adhoc tasks as required meeting business needs. Experience Required: At least 1 year of experience in a claims role within a healthcare, insurance, or related environment. Customer focused with ability to identify and solve problems. Ability to meet/exceed targets and manage multiple priorities. Proficient in Microsoft Office applications. Demonstrated proficiency in mathematics, with strong attention to detail and accuracy when handling calculations and numerical information.
Skills: Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills with good verbal and written communication to internal and external clients. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements Ability to exercise judgment. 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: the employer’s official contact for support. Do not email the employer’s official contact for an update on your application or to provide your resume as you will not receive a response. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.