What are the responsibilities and job description for the Provider Claims Representative position at The Cigna Group?
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About us
Cigna Corporation is a global health service company. We provide healthcare products and services, group disability, life and accident insurance and international insurance – directly to individuals and through employers and intermediaries.
Cigna’s mission is to help our customers improve their health, well-being and sense of security.
Your mission
Critical analysis and processing of claims for medical expenses within the fixed turn around time.
Key areas
Claims processing:
- Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality.
- Accurate data input to the PC and mainframe applications.
- Positioning himself/herself analytically and critically in the context of cost management and in respect of existing working methods.
- Following up his/her own workload (volume and timing): keeping an eye on chronology and processing time of the work volume and taking suitable actions.
- Participate efficiently in processing the flow of claims: inform the Supervisor about claims lacking clarity and about possible ways of optimising the processes.
- A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators.
In relation to other positions:
- Providing accurate communication about a dossier to the interested internal employee.
- Tracking irregularities in procedures and highlighting these to the Supervisor.
- Raising problems or sensitivities with your superior.
- Participating actively in an agreeable and amicable atmosphere.
Skills and Knowledge
Education Level: Degree or similar by experience (Foreign languages studies, translation and interpreting, administration, accountancy).
Specific Knowledge: Active knowledge of English. Good knowledge of any of these languages is a plus: German, Dutch, Greek, French, Italian, Portuguese, or any other European language. Apart from European languages we would appreciate knowledge in Asian group of languages, Arabic and Hebrew
Skills:
- Skillful in taking decisions: takes the right action on allocated files based on the available information.
- Skillful with numbers: likes to work with numbers.
- Accurate: works accurately on the input of data, aims to work faultlessly.
- Discipline: pays attention to procedures, agreements and document flows.
- Efficient: finds a good balance between quality and quantity.
- Team player: Able to work in a team.
- Skillful with computer programs: readily learns the ropes in the use of current office applications
- Discreet: works discreetly with confidential (medical) information.
- Accounting or other mathematic related background preferred.
- Microsoft office software knowledge is important
What we offer:
- Long Term contract
- Multicultural working environment with Hybrid working
- Enjoy working from the comfort of your home 3 days per week and 2 days from our Madrid office (shuttle bus from Madrid to the office).
- Flexible starting hour
- Our shifts start from 7:00 to 9:30, with possibility to choose the time that suits you best (Monday to Friday - Morning intensive shift ).
- Social Benefits
- Private Medical and Dental Insurance, Life Assurance, Educational Development Program, Foreign Language Scholarship, flexible compensation.
- Training 6 weeks (2 weeks will be at the office and the other 4 weeks to be discussed). Schedule for the training 9.00 to 16.48.
- Start date 7.04.2025
It’s time to look to your future and apply to work for Cigna today
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
