What are the responsibilities and job description for the Claims Representative position at The Cigna Group?
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 turnaround 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 optimizing 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).
Specific Knowledge:
Active knowledge of English.
Good knowledge of any of these languages will be a plus: German, Cyrillic, Dutch, Greek, Hebrew, French, Italian and so on.
Skills:
- Skilful in taking decisions takes the right action on allocated files based on the available information.
- Skilful 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.
- Skilful with computer programs readily learns the ropes in the use of current office applications
- Discreet: works discreetly with confidential (medical) information.
What we offer
Contract :Permanent
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.
Training: 9 weeks , most of the training will be done from 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, …
Start date: 2nd September 2024.
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: SeeYourselfEMEA@cigna.com for support. Do not email SeeYourselfEMEA@cigna.com for an update on your application or to provide your resume as you will not receive a response.
