Claims Representative

hace 5 días

Madrid, España Cigna A tiempo completo

Job Description

**Role Purpose**:
Provide the highest level of customer service, striving for first contact resolution, responding within given timelines.
Good breadth of knowledge on product types and the ability to respond to claims. Reporting to the Claims Manager will be responsible of managing new claims from start to end.

**Manage all the administration tasks related to the position**: E-mail, Post, Fax, Fulfilment, etc...
Manage all Complaints received and within compliance regulations in each country.

**Retention duties**: in order to maintain portfolio the team will manage cancellation requests.
Call monitoring and quality review in order to rate Team Performance.
Build relations with internal departments to ensure all resources are utilized to the benefit of the customer, working within the regional benefits and reaching out to relevant service partners where necessary.
Identify potential process improvements and make recommendations to Team manager.
Actively support other team members and provide resource to enable all team goals to be achieved.
Escalation of customer complaints
Point of contact for nominated country clients
Key Skill and Knowledge

**Experience Required**:
Experience in Life Insurance products, claims environment and customer service focused organization.
Experience on all level Complaints resolution.
Experience of working in a Contact Centre environment.
Ability to meet/exceed targets and manage multiple priorities.
Italian native speaker with a good knowledge of English language. Any other European language will be a plus.
Must possess excellent attention to detail, with a high level of accuracy.
Strong interpersonal skills with excellent verbal and written communication to internal and external clients.
Desirable Commercial skills
Ability to work under own initiative and proactive in recommending and implementing process improvements.
Ability to organize, prioritize and manage workflow to meet individual and team requirements
Ability to quickly identify customer needs and exercise judgment in a professional and confident manner.

Key Competencies
Conflict management
Customer focus
Problem solving

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.

  • Provider Claims Representative

    hace 4 días

    Madrid, España The Cigna Group A tiempo completo

    Join to apply for the Provider Claims Representative role at The Cigna GroupBe among the first 25 applicantsJob Description SummaryWe are seeking a detail‑oriented professional to deliver administrative and business services within the Claims department. This role involves examining and processing paper and electronic claims, determining whether to return,...

  • Provider Claims Representative

    hace 4 días

    Madrid, España Cigna Health and Life Insurance Company A tiempo completo

    Provider Claims Representative page is loaded## Provider Claims Representativeremote type: Hybridlocations: Madrid, Spaintime type: Full timeposted on: Posted Todayjob requisition id: **Job Description Summary**We are seeking a detail-oriented professional to deliver administrative and business services within the Claims department. This role involves...

  • Provider Claims Representative

    hace 4 días

    Madrid, España Cigna Healthcare A tiempo completo

    Job Description Summary We are seeking a detail-oriented professional to deliver administrative and business services within the Claims department. This role involves examining and processing paper and electronic claims, determining whether to return, pend, deny, or pay claims in line with company policies. You will adjudicate claims, settle with claimants...

  • Claims Associate Representative

    hace 1 semana

    Madrid, España Cigna A tiempo completo

    IDENTIFICACIÓN **Título de puesto**: Claims Associate Representative **Banda**: 1 **Entidad**: Cigna España **Ubicación**: Madrid, Pozuelo de Alarcón **Modalidad**: Semi-presencial. Modalidad Híbrida. **Reporta a**: Claims Member Supervisor - Claims Manager DESCRIPCIÓN Somos una compañía global de Seguros de Salud enfocada fundamentalmente al...

  • Provider Claims Representative

    hace 4 días

    Madrid, España Cigna A tiempo completo

    Job Description SummaryWe are seeking a detail-oriented professional to deliver administrative and business services within the Claims department. This role involves examining and processing paper and electronic claims, determining whether to return, pend, deny, or pay claims in line with company policies. You will adjudicate claims, settle with claimants...

  • Provider Claims Representative

    hace 2 semanas

    Madrid, Madrid, España Cigna Healthcare A tiempo completo

    Job Description Summary We are seeking a detail-oriented professional to deliver administrative and business services within the Claims department. This role involves examining and processing paper and electronic claims, determining whether to return, pend, deny, or pay claims in line with company policies. You will adjudicate claims, settle with claimants...

  • Healthcare Claims Analyst — Hybrid

    hace 4 días

    Madrid, España Cigna Health and Life Insurance Company A tiempo completo

    A global health service company in Madrid is looking for a Provider Claims Representative to efficiently adjudicate medical expense claims. The role requires a detail-oriented professional with proficiency in English and preferably additional languages. This position offers a hybrid working model, high-quality benefits, and a supportive team environment. You...

  • Claims Representative-2

    hace 7 días

    Madrid, España Cigna A tiempo completo

    **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...

  • Remote-Ready Multilingual Claims Specialist

    hace 4 días

    Madrid, España Cigna A tiempo completo

    A global health service provider in Madrid is seeking an Operational Representative to process insurance claims and serve clients. Candidates should have a bachelor's degree in a related field and experience in non-medical claims. The role requires fluency in English and French or Dutch, as well as strong numerical skills. The company offers a supportive...

  • Claims Representative

    hace 1 semana

    Madrid, España The Cigna Group A tiempo completo

    **Role Purpose**: Provide the highest level of customer service, striving for first contact resolution, responding within given timelines. Good breadth of knowledge on product types and the ability to respond to claims. Reporting to the Claims Manager will be responsible of managing new claims from start to end. **Manage all the administration tasks related...