Claims Associate Representative
The Cigna Group
Claims Associate Representative
Job Description
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
Main Duties/Responsibilities:
Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.
Monitor and highlight high cost claims and ensure relevant parties are aware.
Monitor turn around times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable.
Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first call resolution where possible.
Interface effectively with internal and external customers to resolve customer issues.
Identify potential process improvements and make recommendations to team senior.
Actively support other team members and provide resource to enable all team goals to be achieved.
Work across European business in line with service needs.
Carry out other adhoc tasks as required meeting business needs.
Experience Required:
Customer focused with ability to identify and solve problems.
Ability to meet/exceed targets and manage multiple priorities.
Proficient in Microsoft Office applications.
Preferred if English and Arithmetic qualification gained.
Experience or education in medical or life sciences, claims environments, or contact center settings is advantageous but not essential.
Skills:
Must possess excellent attention to detail, with a high level of accuracy.
Strong interpersonal skills with good verbal and written communication to internal and external clients.
Strong customer focus with ability to identify and solve problems.
Ability to work under own initiative and proactive in recommending and implementing process improvements.
Ability to organise, prioritise and manage workflow to meet individual and team requirements
Ability to exercise judgment.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
Locations
- Bengaluru, Karnātaka, India
Salary
70,000 - 110,000 INR / yearly
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Claims adjudicationintermediate
- Customer serviceintermediate
- Problem-solvingintermediate
- Attention to detailintermediate
- Communication (verbal/written)intermediate
- Microsoft Office proficiencyintermediate
- Process improvementintermediate
- Time managementintermediate
Required Qualifications
- English and Arithmetic qualification preferred (experience)
- Experience in medical/life sciences, claims, or contact centers advantageous (experience)
Responsibilities
- Adjudicate medical/dental/vision claims
- Monitor high-cost claims and turnaround times
- Respond to enquiries on plan design, eligibility, claims status
- Interface with customers to resolve issues
- Identify process improvements
- Support team members
- Work across European business
- Adhoc tasks
Answer 10 quick questions to check your fit for Claims Associate Representative @ The Cigna Group.
Claims Associate Representative
The Cigna Group
Claims Associate Representative
Job Description
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
Main Duties/Responsibilities:
Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.
Monitor and highlight high cost claims and ensure relevant parties are aware.
Monitor turn around times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable.
Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first call resolution where possible.
Interface effectively with internal and external customers to resolve customer issues.
Identify potential process improvements and make recommendations to team senior.
Actively support other team members and provide resource to enable all team goals to be achieved.
Work across European business in line with service needs.
Carry out other adhoc tasks as required meeting business needs.
Experience Required:
Customer focused with ability to identify and solve problems.
Ability to meet/exceed targets and manage multiple priorities.
Proficient in Microsoft Office applications.
Preferred if English and Arithmetic qualification gained.
Experience or education in medical or life sciences, claims environments, or contact center settings is advantageous but not essential.
Skills:
Must possess excellent attention to detail, with a high level of accuracy.
Strong interpersonal skills with good verbal and written communication to internal and external clients.
Strong customer focus with ability to identify and solve problems.
Ability to work under own initiative and proactive in recommending and implementing process improvements.
Ability to organise, prioritise and manage workflow to meet individual and team requirements
Ability to exercise judgment.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
Locations
- Bengaluru, Karnātaka, India
Salary
70,000 - 110,000 INR / yearly
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Claims adjudicationintermediate
- Customer serviceintermediate
- Problem-solvingintermediate
- Attention to detailintermediate
- Communication (verbal/written)intermediate
- Microsoft Office proficiencyintermediate
- Process improvementintermediate
- Time managementintermediate
Required Qualifications
- English and Arithmetic qualification preferred (experience)
- Experience in medical/life sciences, claims, or contact centers advantageous (experience)
Responsibilities
- Adjudicate medical/dental/vision claims
- Monitor high-cost claims and turnaround times
- Respond to enquiries on plan design, eligibility, claims status
- Interface with customers to resolve issues
- Identify process improvements
- Support team members
- Work across European business
- Adhoc tasks
Answer 10 quick questions to check your fit for Claims Associate Representative @ The Cigna Group.