Claims Associate Representative
The Cigna Group
Claims Associate Representative
Job Description
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.
About The Cigna Group
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Locations
- Bengaluru, Karnataka, 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
- excellent attention to detailintermediate
- high level of accuracyintermediate
- strong interpersonal skillsintermediate
- good verbal and written communicationintermediate
- strong customer focusintermediate
- ability to identify and solve problemsintermediate
- ability to work under own initiativeintermediate
- proactive in recommending and implementing process improvementsintermediate
- ability to organise, prioritise and manage workflowintermediate
- ability to exercise judgmentintermediate
- proficient in Microsoft Office applicationsintermediate
Required Qualifications
- English and Arithmetic qualification (preferred) (experience)
- experience or education in medical or life sciences, claims environments, or contact center settings (advantageous but not essential) (experience)
Responsibilities
- adjudicate international medical/dental and vision claims
- monitor and highlight high cost claims
- monitor turn around times
- respond to enquiries regarding plan design, eligibility, claims status
- interface effectively with internal and external customers
- identify potential process improvements
- support other team members
- work across European business
- carry out other 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
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.
About The Cigna Group
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Locations
- Bengaluru, Karnataka, 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
- excellent attention to detailintermediate
- high level of accuracyintermediate
- strong interpersonal skillsintermediate
- good verbal and written communicationintermediate
- strong customer focusintermediate
- ability to identify and solve problemsintermediate
- ability to work under own initiativeintermediate
- proactive in recommending and implementing process improvementsintermediate
- ability to organise, prioritise and manage workflowintermediate
- ability to exercise judgmentintermediate
- proficient in Microsoft Office applicationsintermediate
Required Qualifications
- English and Arithmetic qualification (preferred) (experience)
- experience or education in medical or life sciences, claims environments, or contact center settings (advantageous but not essential) (experience)
Responsibilities
- adjudicate international medical/dental and vision claims
- monitor and highlight high cost claims
- monitor turn around times
- respond to enquiries regarding plan design, eligibility, claims status
- interface effectively with internal and external customers
- identify potential process improvements
- support other team members
- work across European business
- carry out other adhoc tasks
Answer 10 quick questions to check your fit for Claims Associate Representative @ The Cigna Group.