Claims Senior Representative
hace 4 meses
Job Description Summary-
- Job Description
**The Position**:
One vacancy has arisen within IOH Provider Claims in Madrid opening up the opportunity for a enthusiastic, highly motivated, and driven individuals to join Our Operations Team in the role of IOH Claims Senior Representative.
You will support the Supervisor and provide leadership to staff on a daily basis ensuring KPl's are met across the Claims Organization.
**Main **Duties/Responsibilities**:
- Provide Coaching/Development for Claims team staff.
- Review team performance and ensure coaching opportunities are identified.
- When required, ownership of BPO team scorecards updating performance and ensuring coaching opportunities are identified.
- Quality Audit execution and reporting results ensuring Quality Audit targets are achieved.
- Engage staff to create a dynamic working environment at all levels, supporting the team and the processes towards continuous improvement while supporting the change journey.
- Proactively optimizing the unit's workflows to achieve set targets.
- Managing the senior queues daily.
- Monitoring and managing workflow to ensure TAT targets are achieved and inventory levels are managed.
- Instrumental into the Claims Processes to ensure risks are highlighted.
- 1st Point of contact tor Escalations.
- Mainframe and financial transactions.
- Ad
- hoc projects.
- As Required, processing or verifying.
**Requirements**:
- 1 year experience in processing Provider claims.
- Has the ability to complete tasks with little or no supervision.
- Self-motivated with a proactive approach.
- Exceptional attention to detail and accuracy.
- Ability to take ownership.
- Demonstrated Coaching/Development Experience.
- Work well in a team environment.
- Computer literacy (specially Excel).
- Ability to learn in a virtual environment.
- Excellent problem solving skills.
- Confidentiality Management of Data.
- Leadership Skills will be a plus.
**About Cigna Healthcare**
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.
- Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
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