Medical Claims Specialist

hace 3 días


Madrid, Madrid, España The Cigna Group A tiempo completo

About The Cigna Group

We are a global health service company, providing 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 Description:

As a Medical Claims Specialist at our Madrid office, you will be responsible for processing medical claims in a timely manner. This involves assessing and processing claims while maintaining confidentiality, accurate data input, and efficient claim processing.

Key Responsibilities:

  • Assessing and processing medical claims within fixed turnaround times
  • Accurate data input to PC and mainframe applications
  • Positioning analytically and critically in cost management and working methods
  • FOLLOWING UP WORKLOAD: monitoring chronology and processing time of work volume and taking suitable actions
  • PARTICIPATING IN CLAIM PROCESSING FLOW: informing Supervisor about unclear claims and optimizing processes
  • SUSTAINED EFFORT: high-quality claims handling, accurate reimbursements, and fast transactions

In Relation to Other Positions:

  • Providing accurate communication about a dossier to internal employees
  • Tracking irregularities in procedures and highlighting them to the Supervisor
  • Raising problems or sensitivities with your superior
  • Participating actively in an agreeable atmosphere

Requirements:

  • Degree or similar experience (Foreign languages studies, translation, and interpreting, administration)
  • Active knowledge of English
  • Good knowledge of other languages (German, Cyrillic, Dutch, Greek, Hebrew, French, Italian) a plus

Skills:

  • Taking decisions based on available information
  • Working with numbers
  • Accuracy in data input
  • Discipline in following procedures
  • Efficiency in balancing quality and quantity
  • Team player
  • Skilled in computer programs
  • Discretion when handling confidential information

What We Offer:

  • Permanent contract
  • Multicultural working environment with hybrid working (home 3 days/week, office 2 days/week)
  • Training program (9 weeks, mostly in-office)
  • Flexible starting hour (7:00-9:30 AM, Monday-Friday)
  • Social benefits (private medical insurance, life assurance, education development, flexible compensation)

Estimated Salary: €35,000 per annum



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