PSO Claims Representative (Madrid)

PSO Claims Representative (Madrid)

26 ago
|
Cigna Healthcare
|
Madrid

26 ago

Cigna Healthcare

Madrid

ABOUT US:
Cigna Corporation is a integral health service company. We provide healthcare products and services, group disability, life and accident insurance and international insurance – directly to individuals and through employers and intermediaries.
Cigna’s mission is to help our customers improve their health, well-being and sense of security.

YOUR MISSION:
Critical analysis and processing of claims for medical expenses within the fixed turn around time.

KEY AREAS:
• Claims processing:
- Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality.
- Accurate data input to the PC and mainframe applications.
- Positioning himself/herself analytically and critically in the context of cost management and in respect of existing working methods.
- Following up his/her own workload (volume and timing): keeping an eye on chronology and processing time of the work volume and taking suitable actions.
- Participate efficiently in processing the flow of claims:



inform the Supervisor about claims lacking clarity and about possible ways of optimizing processes.
- A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators.

• In relation to other positions:
- Providing accurate communication about a dossier to the interested internal employee.
- Tracking irregularities in procedures and highlighting these to the Supervisor.
- Raising problems or sensitivities with your superior.
- Participating actively in an agreeable and amicable atmosphere.

SKILLS AND KNOWLEDGE:
• Education Level:
- Degree or similar by experience (Foreign languages studies, translation and interpreting, administration).

• Specific Knowledge:
- Required language for the role. Any other language is a plus (Spanish, Italian, Portuguese, Greek, German, Dutch & French)
- Active knowledge of English.

• Skills:
- Skillful in taking decisions: takes the right action on allocated f

📌 PSO Claims Representative (Madrid)
🏢 Cigna Healthcare
📍 Madrid

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