The job profile for this position is Administrative Services Associate Representative, which is a Band 1 Professional Career Track Role.

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Our people make all the difference in our success.

About Us

At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day.

One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We’re devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being.

CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization.

Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us!

Process Overview*

• Health insurance intake claims Intake processing for individual, employer, group, and provider and general administration duties.

Job Description*

Responsible for organizing and processing the flow of incoming and outgoing documents (paper & electronic) in a back-office environment. The candidate ensures there is consistency in   timely delivery of quality and quantity to meet set parameters measures to meet Service Level Agreements

Responsibilities

• Receiving and documenting claims both electronic and paper claims
• Sorting, processing, and vetting 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.
• Managing   the flow between members and provider claims
• Processing member and provider claims within stipulated Turn Around Times 
• Managing the different channels through which claims are received.
• Cross reference of emails received from members and providers for further processing. 
• Any other tasks as allocated.

Requirements*:

• Active language knowledge of at least English (additional languages are a plus)
• Executes assignments accurately and pays attention to detail.
• Ability to plan and organise tasks independently.
• Excellent time management skills with ability to continuously prioritize set tasks accordingly.
• Upholds utmost discretion when handling confidential information.
• Ability to handle large quantities of paper and electronic documents.
• Works to deliver consistently even under pressure.
• Self-Driven and can work with little or no supervision.
• Ability to work collaboratively within a team.
• Proficient in the use of Spreadsheets, word-processing and associated office IT Skills with CRM systems (e.g.) Salesforce with accurate data inputting.
• Accountability – assumes ownership for achieving personal results.
• Customer focused while executing mundane tasks.
• Copes well in a changing environment

Education*: new Diploma and Bachelors degree (Any) - medical, Paramedical, Commerce, Statistics, Mathematics, Economics or Science, guided by job market

Experience Range*: Role open to new or early career Diploma and Bachelors Degree, guided by job market

Foundational Skills* -

• Routine Operations Tasks execution

Please note that you must meet our posting guidelines to be eligible for consideration.  Policy can be reviewed at this link.