Claims Representative- Cigna Healthcare
Core
Adjudicate international medical, dental, and vision claims to meet productivity and quality goals while monitoring high-cost claims and turnaround times.
Role type
Claims Representative
Builds
Claims settlement decisions and customer service resolutions
Domain
Healthcare insurance
Deliverable
client delivery
Required skills
Claims adjudication, high-cost claim monitoring, turnaround time management, plan design and eligibility verification, customer issue resolution, process improvement identification, workflow prioritization, mathematical proficiency, attention to detail
Preferred skills
Cross-functional collaboration, proactive problem solving, initiative in process improvement
Technologies
Microsoft Office
Responsibilities
Adjudicate international medical/dental and vision claims; Monitor and highlight high cost claims; Monitor turn around times; Respond to enquiries regarding plan design, eligibility, and claims status; Interface with internal and external customers to resolve issues; Identify potential process improvements; Support team members to achieve goals; Work across European business
Seniority
Entry-level to Junior, hands-on IC
