Provider Claims Representative
hace 3 meses
**About us**
Cigna Corporation is a global 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. We are an american multinational that has presence around the world such as England, Belgium, India, Malaysia, Spain and so on.
**Our Mission**
As a Provider Claims Representative your mission will be critical analysis and processing of claims for medical expenses within the fixed turnaround time.
**Key Areas**
Claims processing
- Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality.
- 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 the 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.
**Requirements**:
Education Level: Degree or similar by experience (Foreign languages studies, translation and interpreting, administration, accountancy).
Specific Knowledge: Advanced level of English and Spanish. Good knowledge of any of these languages is a plus: German, Dutch, Greek, French, Italian, Portuguese, or any other European language. (Level intermediate -b2)
**Skills**:
- Skillful in taking decisions takes the right action on allocated files based on the available information.
- Skilful with numbers likes to work with numbers.
- Accurate: works accurately on the input of data, aims to work faultlessly.
- Discipline: pays attention to procedures, agreements and document flows.
- Efficient: finds a good balance between quality and quantity.
- Team player: Able to work in a team.
- Discreet: works discreetly with confidential (medical) information.
**What we offer**:
- ** Long Term contract**:
- ** Multicultural working environment with Hybrid working**: Enjoy working from the comfort of your home 3 days per week and 2 days from our Madrid office (shuttle bus from Madrid to the office).
- ** Training**: 6 weeks (4 weeks will be at the office and the other two weeks to be discussed) Schedule for the training 9.00 to 17.00.
- ** Flexible starting hour**: Our shifts are from 7:00 to 9:30, with the possibility to choose the time that suits you best (Monday to Friday - Morning intensive shift). You will have to choose one of the following ranges of start hours: 7.00 to 8.30 or 8.00 to 9.30.
- ** Social Benefits**: Private Medical and Dental Insurance, Life Assurance, Educational Development Program, Foreign Language Scholarship, flexible compensation.
- ** Start date**: 11 november.
**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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