Claims Specialist

hace 20 horas

Madrid Centro, Madrid, España The Cigna Group A tiempo completo
{"About us": "The Cigna Group 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 mission": "As a Claims Representative, you will be responsible for critical analysis and processing of claims for medical expenses within the fixed turnaround time. This involves assessing and processing claims while maintaining medical confidentiality, accurate data input, and positioning yourself analytically and critically in the context of cost management and existing working methods.", "Key areas": "
  • Claims processing: Assessing and processing claims for medical expenses while maintaining medical confidentiality.
  • Accurate data input to PC and mainframe applications.
  • Positioning yourself analytically and critically in the context of cost management and existing working methods.
  • Following up your own workload: keeping an eye on chronology and processing time of the work volume and taking suitable actions.
  • Participating efficiently in processing the flow of claims: informing the Supervisor about claims lacking clarity and about possible ways of optimizing 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.
", "Skills and knowledge": "

Education Level: Degree or similar by experience (Foreign languages studies, translation and interpreting, administration).

Specific Knowledge:

  • Active knowledge of English.
  • Good knowledge of any of these languages will be a plus: German, Cyrillic, Dutch, Greek, Hebrew, French, Italian, and so on.

Skills:

  • Skilful in taking decisions and taking the right action on allocated files based on the available information.
  • Skilful with numbers and enjoys working with them.
  • 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.
  • Skilful with computer programs and readily learns the ropes in the use of current office applications.
  • Discreet: works discreetly with confidential (medical) information.
", "What we offer": "
  • Contract: Permanent
  • 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.
  • Training: 9 weeks, most of the training will be done from the office.
  • Flexible starting hour: Our shifts start from 7:00 to 9:30, with the possibility to choose the time that suits you best (Monday to Friday - Morning intensive shift).
  • Social Benefits: Private Medical and Dental Insurance, Life Assurance, Educational Development Program, Foreign Language Scholarship, flexible compensation.
", "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."}

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