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Cigna Medical Group
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Claims Representative

Claims Representative

Cigna Medical Group

2 - 3 years

4 - 5 Lacs

bengaluru

Posted:8 hours ago| Platform:

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Skills Required

administration data analysis interpersonal skills nursing pharmacy healthcare workflow representative subject matter expert us healthcare

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Profile -

Claims Representative: Band 1

Job Description

Have a passion for solving problemsDedicated to improving customer experienceLove digging in to research and analyze complex issues

The Claims Representative s primary responsibility is to process and complete customer and provider submitted claims. Deliver basic technical, administrative, or operative claims tasks and perform claims duties under direct instructions and close supervisions.

Job Responsibilities

Work in a production environment, where success is measured by the speed and accuracy of your work . It s critical to resolve issues quickly, but also to avoid making the problem worse by committing another mistake. Success in this role will be built on a balance between productivity and attention to detail. We will approach a complaint as an opportunity to please a dissatisfied customer by providing an effective, complete and speedy resolution.

Rely on a well-developed set of functional and technical claim skills developed over years of claim experience . You ll work shoulder-to-shoulder with a team of highly trained, highly experienced claim analysts with a diverse set of skills, ready to solve any problem presented by the Cigna Global customer base. Training in this role will help to add skills related to problem solving, effective communication, in-depth research, root cause detection, data analysis and more.

Be a Subject Matter Expert in your field. We need people who know the Cigna Global claim world intimately, and have a deep knowledge of the systems, tools and processes used throughout the department.

Qualifications -

Bachelor s Degree in any ~ (Life Science/ Pharmacy/Paramedical Science/Nursing will be an added advantage)
Minimum 2 to 3 years of experience in prior US health care processes, especially in healthcare insurance claims processing.

Skills Required -

Demonstrated ability to consistently meet and exceed performance metrics such as productivity and quality.
Adept computer skills, with experience navigating multiple systems to complete a single task.
Intermediate to advanced skills using Microsoft Office products, specifically Excel and Outlook.
Excellent written and oral communication skills.
Strong interpersonal skills with accountability.
Ability to work under own initiative and proactive in recommending and implementing process improvements.
Ability to organize, prioritize and manage workflow to meet individual and team requirements.

Job Location - Bengaluru, India (Work from office)

Work Shift - 17:00 to 02:00 IST (core US shift)

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Claims Representative