Medical Claims Professional

hace 4 días


Pozuelo de Alarcón, Madrid, España Cigna A tiempo completo

About Cigna

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Cigna Corporation is a global health service company dedicated to helping our customers improve their health, well-being and sense of security. We provide healthcare products and services, group disability, life and accident insurance and international insurance – directly to individuals and through employers and intermediaries.

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Your Mission

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As a Medical Claims Professional, you will be responsible for critical analysis and processing of claims for medical expenses within the fixed turnaround time. Your primary focus will be on assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality.

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Key Areas of Responsibility

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Claims Processing: You will assess and process claims for medical expenses, ensuring that all relevant information is accurate and up-to-date. This includes comparing claim applications and provider statements with policy files and other records to evaluate completeness and validity of claims.

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Accurate Data Input: You will input data accurately into PC and mainframe applications, ensuring that all information is complete and up-to-date.

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Cost Management: You will position yourself analytically and critically in the context of cost management and existing working methods, identifying areas for improvement and implementing changes as necessary.

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Workload Management: You will follow up your own workload, keeping an eye on chronology and processing time of work volume and taking suitable actions to ensure timely completion.

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Teamwork: You will participate efficiently in processing the flow of claims, informing your supervisor about claims lacking clarity and suggesting ways to optimize processes.

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Requirements

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Educational Background: A degree or similar by experience (Foreign languages studies, translation and interpreting, administration, accountancy) is required.

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Language Skills: Active knowledge of English is essential, and good knowledge of any European language is a plus.

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Skills: You should be skilled in taking decisions, working accurately with numbers, and paying attention to procedures and agreements.

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We offer a multicultural working environment, flexible working hours, private medical and dental insurance, life assurance, educational development program, foreign language scholarship, and flexible compensation.

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Salary Information

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The estimated salary for this role is approximately $55,000 - $65,000 per year, depending on location and experience.

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This is a long-term contract opportunity with a chance to grow and develop your career in a dynamic and supportive environment. If you are a motivated and organized individual who is passionate about delivering high-quality results, we encourage you to apply today.


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