17 sep
|
The Cigna Group
|
Pozuelo de Alarcón
17 sep
The Cigna Group
Pozuelo de Alarcón
The job profile for this position is Claims Representative, which is a Band 1 Professional Career Track Role.
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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 agreeabl
📌 PSO Claims Representative (Pozuelo de Alarcón)
🏢 The Cigna Group
📍 Pozuelo de Alarcón