Subrogation Senior Analyst

hace 2 meses

Madrid, España The Cigna Group A tiempo completo

**Subrogation Senior Analyst**

The job profile for this position is a Quality Review and Audit Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.

**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.

**Role Summary**:
As a Subrogation Senior Analyst you will be directly supporting Cigna’s affordability commitment within Cigna International's business. This role is responsible for the development of processes to identify, investigate and seek recoveries for subrogation cases across Cigna’s Global claims platforms. This includes establishing and operating internal inter team processes to direct inbound requests for subrogation against Cigna and the development of data analytics to proactively identify where subrogation rights might be applied for countries not already covered by existing outsource capabilities. He/ She will work closely with Medical Economics, Data Analytics, Claims Operations, Clinical partners, Legal and Compliance, Account Management.

**Responsibilities**:

- Responsible for documenting and maintaining standard operating protocols (SOPs) related to subrogation.
- Develop operational dashboards to support the assessment of work demand against capacity to ensure optimum pipeline across all referral routes; create solutions, drive execution and ensure timeliness and accuracy of processes, loss negotiations and recovery activity.
- Ensure financial recoveries and prevention activities are being tracked and reported accurately.
- Review clams and supporting documents to identify third party liability that caused injuries to Cigna insured.
- Interview customer, provider and/ or third-parties to establish liability and opportunity.
- Seek recovery of payments from third-parties responsible for the health damages caused to the insured or third-party insurer.
- Negotiate settlement agreements.
- Partner with Customer Services and Account Management on educating customers and clients regarding the subrogation rights and obtaining required documentation.
- Ensure cases are tracked and reported accurately.
- Perform data-mining to reveal trends and patterns of subrogation cases.
- Recommend changes in policy and procedures in order to mitigate risk and participates in projects to improve business protocols.
- Partner with Cigna TPAs on subrogation cases.
- Partner with Payment Integrity and other teams to raise awareness of schemes that fall under subrogation scope.
- Partner with Data Analytics team in building triggers to automate subrogation detection.
- Provide ongoing operational analysis of process components, while identifying and implementing changes as necessary to improve the level of quality and efficiency as measured by key performance indicators.
- Provide reports to internal and external stakeholders on prevention and recovery metrics.
- Working closely with other departments to ensure Payment Integrity activities do not have an unnecessary negative impact on our customers.

**Skills and Requirements**:

- You should enjoy working in a team of high performers, who hold each other accountable to perform to their very best.
- Experience and confidence in liaising with internal and external stakeholders.
- Commercial experience operating effectively under pressure and delivering results.
- Knowledge of Mainframe, Diamond, Actisure and/or Globalcare is preferred.
- Ability to negotiate settlement agreements..
- Knowledge of claims coding, regulatory rules and medical policy.
- Medical/ paramedical qualification is a definite plus.
- Critical mind-set with ability to understand regulatory and legal context.
- Experience with data analytics.
- Demonstrated strong organization skills.
- Strong attention to detail.
- Ability to quickly learn new and complex tasks and concepts.
- Excellent verbal and written communication skills.
- Ability to balance multiple priorities at once and deliver on tight timelines.
- Flexibility to work with global teams and varying time zones effectively.
- Strong organization skills with the ability to juggle priorities and work under pressure to meet tight deadlines.
- Dedicated to meeting the expectations and requirements of internal and external customers, excellent at building effective relationships and gaining trust and respect.
- Fluency in foreign languages in addition to fluent English is a strong plus.

**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

  • Subrogation Senior Analyst

    hace 1 semana

    Madrid, España The Cigna Group A tiempo completo

    The job profile for this position is Quality Review and Audit Senior Analyst, which is a Band 3 Senior Contributor Career Track Role. 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...

  • Subrogation Senior Analyst

    hace 7 días

    Madrid, Madrid, España The Cigna Group A tiempo completo

    Subrogation Senior AnalystThe job profile for this position is a Quality Review and Audit Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.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...

  • Subrogation Analyst

    hace 4 semanas

    Madrid, España The Cigna Group A tiempo completo

    **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. **Role Summary**: As...

  • Senior Growth Analyst

    hace 1 día

    Madrid, España Goodhue Senior Living A tiempo completo

    .About MoonPay Hi, we're MoonPay. We're here to onboard the world to Web3.Why? Because we think Web3 is a unique and democratizing technology. It gives people back control of their money, digital identity, data, and property like nothing else before it.What we doWe're the leading infrastructure company in Web3. This means we offer our partners everything...

  • Senior Business Analyst

    hace 2 meses

    Madrid, España Grupo NS A tiempo completo

    **Return to home page** **Senior Business Analyst** Madrid - Published on March 13, 2023 Description From Grupo NS we are looking for a Senior Business Analyst with at least 4 years of experience in the following areas: - Analysis of data, and performance trends. - Identify, collect and analyze KPIs and Dashboards, and reports design and creation -...

  • Senior Cash Flow Analyst

    hace 7 días

    Madrid, Madrid, España WebBeds A tiempo completo

    We would love to hear from you. Send us a message and a member of the team will get right back to you. Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page. Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy...

  • Senior Cash Flow Analyst

    hace 1 mes

    Madrid, España Webbeds A tiempo completo

    We would love to hear from you.Send us a message and a member of the team will get right back to you.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Drive...

  • Senior Cash Flow Analyst

    hace 3 semanas

    Madrid, España Webbeds A tiempo completo

    We would love to hear from you.Send us a message and a member of the team will get right back to you.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Drive...

  • Data Analyst

    hace 2 semanas

    Madrid, España Page Personnel España A tiempo completo

    PERFIL SENIOR DATA ANALYST TÉCNICO+ DE 5 AÑOS DE EXPERIENCIA - Ingeniería informática o Telecomunicacions - SQL Y PYTHON CONTRATO INDEFINIDO|CLIENTE FINAL - PERFIL SENIOR DATA ANALYST TÉCNICO+ DE 5 AÑOS DE EXPERIENCIA - Ingeniería informática o Telecomunicacions - SQL Y PYTHON CLIENTE FINAL INTERNACIONAL 100% TELETRABAJO CONTRATO INDEFINIDO 100%...

  • Senior Business Analyst

    hace 7 días

    Madrid, Madrid, España Grupo NS A tiempo completo

    Return to home pageSenior Business AnalystMadrid - Published on March 13, 2023DescriptionFrom Grupo NS we are looking for a Senior Business Analyst with at least 4 years of experience in the following areas:Analysis of data, and performance trends. Identify, collect and analyze KPIs and Dashboards, and reports design and creation Updating existing reports...

  • Senior Cash Flow Analyst

    hace 7 días

    Madrid, Madrid, España Webbeds A tiempo completo

    We would love to hear from you.Send us a message and a member of the team will get right back to you.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Drive...

  • Senior Cash Flow Analyst

    hace 7 días

    Madrid, Madrid, España Webbeds A tiempo completo

    We would love to hear from you.Send us a message and a member of the team will get right back to you.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Drive...

  • Senior Business Analyst, Madrid

    hace 2 meses

    Madrid, España Grupo NS A tiempo completo

    Senior Business Analyst en Madrid. From Grupo NS we are looking for a Senior Business Analyst with at least 4 years of experience in the following areas Analysis of data and performance trends. Identify collect and analyze KPIs and Dashboards and reports design and creation Updating existing reports based on new requirements or information needs. Queries...

  • Senior Business Analyst, Madrid

    hace 3 semanas

    Madrid, España Grupo NS A tiempo completo

    Senior Business Analyst en Madrid. From Grupo NS we are looking for a Senior Business Analyst with at least 4 years of experience in the following areas Analysis of data and performance trends. Identify collect and analyze KPIs and Dashboards and reports design and creation Updating existing reports based on new requirements or information needs. Queries...

  • Senior Business Analyst

    hace 2 meses

    Madrid, España DWI Consulting Ltd A tiempo completo

    **Business Analyst LIMS **(Laboratory Information Management Systems)** We are currently looking for a Senior Business Analyst with Knowledge of **LIMS **(Laboratory information Management Systems) **and **LabVantage** which is highly preferred. You should have a Manufacturing background or Research and Development, but this is not a prerequisite. You...

  • Dharma Senior Analyst

    hace 2 semanas

    Madrid, España Serviguidebpo A tiempo completo

    Description Desde Serviguide nos encontramos en la búsqueda de un /a Dharma Senior Analyst para uno de los bancos más importantes de España. The Dharma Senior Analyst will be a seasoned analyst working on software development projects over 5 years. She/He has experience in data analytics as well as requirements analysis. Used to work with tools like...

  • Dharma Senior Analyst

    hace 2 semanas

    Madrid, España Jr Spain A tiempo completo

    col-wideJob Description:DescriptionDesde Serviguide nos encontramos en la búsqueda de un /a Dharma Senior Analyst para uno de los bancos más importantes de España.The Dharma Senior Analyst will be a seasoned analyst working on software development projects over 5 years. She/He has experience in data analytics as well as requirements analysis. Used to work...

  • Senior Growth Analyst

    hace 1 día

    Madrid, España Goodhue Senior Living A tiempo completo

    About MoonPay Hi, we're MoonPay. We're here to onboard the world to Web3.Why? Because we think Web3 is a unique and democratizing technology. It gives people back control of their money, digital identity, data, and property like nothing else before it.What we doWe're the leading infrastructure company in Web3. This means we offer our partners everything from...

  • Senior Cash Flow Analyst

    hace 1 mes

    Madrid, España Webbeds A tiempo completo

    We would love to hear from you.Send us a message and a member of the team will get right back to you.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Drive...

  • Senior Cash Flow Analyst

    hace 3 semanas

    Madrid, España Webbeds A tiempo completo

    We would love to hear from you.Send us a message and a member of the team will get right back to you.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Your data is safe with us. To find out more about how WebBeds will use and store your email data go to our Privacy policy page.Drive...