Claims Senior Representative
hace 7 días
We are seeking a highly motivated and experienced Claims Senior Representative to join our team in Madrid. As a key member of our Claims Organization, you will be responsible for delivering delegated Claims tasks assigned by a supervisor. Your primary focus will be on examining and processing paper claims and/or electronic claims, determining whether to return, pend, deny or pay claims within policies. You will also be responsible for determining steps necessary for adjudication, following established departmental policies and procedures, and resolving claims and claims issues. Additionally, you will interact with agents and claimants by mail or phone to correct claim form errors or omissions and to investigate questionable entries.
Main Responsibilities:
Provide coaching and development for Claims team staff, review team performance, and ensure coaching opportunities are identified. Ownership of BPO team scorecards, updating performance, and ensuring coaching opportunities are identified when required. Quality Audit execution and reporting results, ensuring Quality Audit targets are achieved. Engage staff to create a dynamic working environment, supporting the team and the processes towards continuous improvement. Proactively optimize the unit's workflows to achieve set targets, manage the senior queues daily, and monitor and manage workflow to ensure TAT targets are achieved and inventory levels are managed.
Requirements:
1 year experience in processing Provider claims, 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 (especially Excel), ability to learn in a virtual environment, excellent problem-solving skills, and confidentiality management of data.
-
Claims Senior Representative
hace 3 días
Madrid, Madrid, España Cigna A tiempo completoJob DescriptionThe Claims Senior Representative will be responsible for delivering specific delegated claims tasks assigned by a supervisor. This role will examine and process paper claims and/or electronic claims, determining whether to return, pend, deny or pay claims within policies. The Claims Senior Representative will also determine the steps necessary...
-
Claims Senior Representative
hace 2 semanas
Madrid, Madrid, España Cigna A tiempo completoJob Title: IOH Claims Senior RepresentativeJob Summary: We are seeking a highly motivated and experienced Claims Senior Representative to join our team in Madrid. As a key member of our Operations Team, you will be responsible for delivering specific delegated Claims tasks assigned by a supervisor, examining and processing paper claims and/or electronic...
-
Claims Senior Representative
hace 2 semanas
Madrid, Madrid, España Cigna A tiempo completoJob Title: IOH Claims Senior RepresentativeJob Summary: We are seeking a highly motivated and experienced Claims Senior Representative to join our team in Madrid. As a key member of our Operations Team, you will be responsible for delivering specific delegated Claims tasks assigned by a supervisor, examining and processing paper claims and/or electronic...
-
Claims Senior Representative
hace 3 días
Madrid, Madrid, España The Cigna Group A tiempo completoJob Summary: We are seeking a highly motivated and experienced Claims Senior Representative to join our team in Madrid. As a key member of our Claims Organization, you will be responsible for delivering specific delegated claims tasks assigned by a supervisor. Your primary focus will be on examining and processing paper claims and/or electronic claims,...
-
Claims Senior Representative
hace 7 días
Madrid, Madrid, España Cigna A tiempo completoJob DescriptionAs a Claims Senior Representative, you will play a critical role in delivering exceptional claims experiences for our customers. Your primary responsibility will be to examine and process claims, ensuring that they are handled in accordance with our policies and procedures.Main Responsibilities:Review and process claims, identifying potential...
-
Claims Senior Representative
hace 2 semanas
Madrid, Madrid, España The Cigna Group A tiempo completoJob Title: IOH Claims Senior RepresentativeJob Summary:We are seeking a highly motivated and experienced Claims Senior Representative to join our team in Madrid. As a key member of our Operations Team, you will be responsible for providing coaching and development to staff, reviewing team performance, and ensuring coaching opportunities are identified.Main...
-
Claims Senior Representative
hace 2 semanas
Madrid, Madrid, España The Cigna Group A tiempo completoJob Title: IOH Claims Senior RepresentativeJob Summary:We are seeking a highly motivated and experienced Claims Senior Representative to join our team in Madrid. As a key member of our Operations Team, you will be responsible for providing coaching and development to staff, reviewing team performance, and ensuring coaching opportunities are identified.Main...
-
Claims Representative
hace 2 semanas
Madrid, Madrid, España Cigna A tiempo completoAbout the RoleCigna is seeking a highly skilled and detail-oriented Claims Representative to join our team. As a Claims Representative, you will be responsible for processing medical claims in a timely and accurate manner, ensuring that our customers receive the benefits they deserve.Key ResponsibilitiesProcess medical claims in accordance with company...
-
Claims Representative
hace 2 semanas
Madrid, Madrid, España Cigna A tiempo completoAbout the RoleCigna is seeking a highly skilled and detail-oriented Claims Representative to join our team. As a Claims Representative, you will be responsible for processing medical claims in a timely and accurate manner, ensuring that our customers receive the benefits they deserve.Key ResponsibilitiesProcess medical claims in accordance with company...
-
Claims Representative
hace 3 semanas
Madrid, Madrid, España The Cigna Group A tiempo completoAbout Cigna HealthcareCigna Healthcare, a division of The Cigna Group, is a leading global health service company that provides healthcare products and services to individuals and employers. Our mission is to help our customers improve their health, well-being, and sense of security.Job SummaryWe are seeking a skilled Claims Representative to join our team....
-
Claims Representative
hace 3 semanas
Madrid, Madrid, España The Cigna Group A tiempo completoAbout Cigna HealthcareCigna Healthcare, a division of The Cigna Group, is a leading global health service company that provides healthcare products and services to individuals and employers. Our mission is to help our customers improve their health, well-being, and sense of security.Job SummaryWe are seeking a skilled Claims Representative to join our team....
-
Claims Examiner
hace 1 semana
Madrid, Madrid, España The Cigna Group A tiempo completoAbout Cigna HealthcareCigna Healthcare, a division of The Cigna Group, is a leading advocate for better health through every stage of life. We empower our customers with the information and insight they need to make informed decisions about their health and well-being. As a Claims Representative, you will play a critical role in guiding our customers through...
-
Senior Claims Specialist
hace 7 días
Madrid, Madrid, España Fqps A tiempo completoJob Title: Senior Claims SpecialistWe are seeking a highly skilled Senior Claims Specialist to join our Claims Solutions team at DAC Beachcroft. As a key member of our team, you will be responsible for defending and investigating exaggerated claims, fabricated claims, and staged accidents.Key Responsibilities:* Defend and investigate exaggerated claims,...
-
Claims Representative
hace 3 días
Madrid, Madrid, España The Cigna Group A tiempo completoAbout The Role:Cigna Corporation is a global health service company, and we are seeking a skilled Claims Representative to join our team. As a Claims Representative, you will be responsible for processing claims for medical expenses within a fixed turnaround time. Your mission will be to critically analyze and process claims accurately, while maintaining...
-
Claims Representative
hace 7 días
Madrid, Madrid, España The Cigna Group A tiempo completoAbout Us:Cigna Corporation is a global health service company that provides healthcare products and services, group disability, life and accident insurance, and international insurance directly to individuals and through employers and intermediaries. Our mission is to help our customers improve their health, well-being, and sense of security.Your Role:As a...
-
Senior Claims Specialist
hace 7 días
Madrid, Madrid, España Xl Catlin A tiempo completoJob DescriptionAs a Senior Claims Specialist, you will work within the Casualty Claims team at AXA XL Iberia, responsible for the setup, investigation, negotiation, and settlement of all assigned claims. You will provide high-quality customer service and reach an effective outcome in the most cost-effective and profitable way.Key Responsibilities:Conduct...
-
Senior Injury Claims Specialist
hace 7 días
Madrid, Madrid, España Fqps A tiempo completoJob DescriptionWe are seeking a highly skilled and experienced Solicitor/Chartered Legal Executive or Experienced Paralegal to join our Claims Solutions Disease team.The ideal candidate will have a proven track record of handling industrial disease claims and a keen interest in injury claims. They will be able to build strong relationships with our...
-
Claims Representative
hace 3 días
Madrid, Madrid, España Cigna A tiempo completoAbout Cigna CorporationCigna Corporation is a global health service company providing healthcare products and services, group disability, life and accident insurance, and international insurance directly to individuals and through employers and intermediaries.Our MissionAs a Provider Claims Representative, your mission will involve critical analysis and...
-
Claims Representative
hace 3 días
Madrid, Madrid, España The Cigna Group A tiempo completoAbout usCigna Corporation is a global health service company, providing healthcare products and services, group disability, life and accident insurance, and international insurance directly to individuals and through employers and intermediaries.Our MissionAs a Provider Claims Representative, your mission will involve critical analysis and processing of...
-
Claims Representative
hace 1 día
Madrid, Madrid, España The Cigna Group A tiempo completoAbout The Cigna GroupWe are a global health service company providing healthcare products and services, group disability, life and accident insurance, and international insurance directly to individuals and through employers and intermediaries.Our MissionTo help our customers improve their health, well-being, and sense of security.Job SummaryCritical...