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Cigna Medical Group
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Administrative Services Representative

Administrative Services Representative

Cigna Medical Group

1 - 3 years

2 - 6 Lacs

bengaluru

Posted:2 weeks ago| Platform:

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Skills Required

administration report generation interpersonal skills claims time management process improvement finance healthcare ms office

Work Mode

Work from Office

Job Type

Full Time

Job Description

We are seeking a highly organized and detail-oriented Administrative Specialist to join our growing team. In this role, you will play a crucial role in ensuring the smooth and efficient case management. Your primary responsibilities will include triaging cases, accurately routing them to the appropriate queues, and verifying case alignment with relevant policies and entities. Additionally, you will be responsible for the efficient allocation of work to the claims/customer services team based on TAT.

Key Responsibilities :

Accurately assess and categorize cases based on their nature and urgency.
Sorting, processing, and vetting of claims firsthand for claims payment and ensuring they are accurately assigned.
File management and classification of data and supporting reporting compilation.
Electronic transfer of received claims to the various platforms.
Route cases to the correct queues within the case management system.
Ensure efficient and timely case assignment to the appropriate claims handlers.
Verify that each case is handled in accordance with established company policies and procedures ensuring there are no data breaches.
Identify and escalate any potential policy exceptions or discrepancies.
Monitor case volume and workload within the claims team.
Maintain accurate and up-to-date records within the system.
Generate reports and analyse data as needed.
Collaborate effectively with other departments within the organization.
Identify opportunities for process improvement within the case management workflow.
Participate in team meetings and contribute to discussions on improving team efficiency and effectiveness.

Requirements:

1-3 years of experience in an administrative or case management role.
Preferred: Prior experience in the healthcare industry.
Strong attention to detail and accuracy.
Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
Experience with case management software (preferred but not required).
Strong communication and interpersonal skills.
Ability to work independently and as part of a team.
Problem-solving and critical thinking skills.
Excellent time management skills with ability to continuously prioritize set tasks accordingly.
Upholds utmost discretion when handling confidential information.

Education: Any Graduation.

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Administrative Services Representative