Pharma Claims Representative - Cigna Healthcare
Core
Adjudicate international pharmacy claims and process member insurance claims in accordance with policy terms.
Role type
Entry-level claims representative (pharmacy focus)
Builds
Processed international insurance claims for members
Domain
Healthcare insurance / International pharmacy claims
Required skills
Claims adjudication, data entry, policy interpretation, customer service, MS Office, critical thinking, attention to detail, workflow management
Preferred skills
Medical administration experience, contact centre experience, process improvement
Technologies
MS Office
Responsibilities
Adjudicate international pharmacy claims, monitor high-cost claims, track turnaround times, respond to enquiries regarding plan design and eligibility, interface with internal and external customers, identify process improvements, support team members
Seniority
Entry-level, supervised IC