Medical Claims Review Analyst

Your Job

The clinical value team is looking for 1 Medical Claims Review Anaylsts (Band 3) in Madrid.

As part of the claims review team you will be primarily responsible for the medical review and coding of EGS claims.

Analysing invoices from providers all over the world to identify cost containment opportunities and you will be taking appropriate actions in line with our procedures to avoid unnecessary costs for our clients, members and Cigna.

Reviewing claims from a clinical point of view directly with Providers.

Collaborating with colleagues in different teams and roles (Claims Analysts, CSR’s, Doctors, Nurses etc) across the business while bridging cultural differences & backgrounds.

Attending weekly/Monthly/ad-hoc meetings with the team & supervisor to discuss and improve internal workflows and collaboration.

Serving as a contact person for other teams within Clinical and the wider business for expert advice on R&C calculations.

Taking ownership of your production making sure you meet the expected outputs.

Your Profile

Proficient in English.

Clinical Background (Nurse).

Passive knowledge of French/German/Italian. Additional languages is a plus.

Experience with processing provider claims is a plus.

Affinity with medical terminology is a plus.

ICD knowledge is a plus.

Communicative and not afraid to approach people.

Proactive and driven.

You can deal with integrity.

Tech savy, not afraid to work in/with different

Eye for detail and love for accurateness.

Flexible with the ability to shift priorities when required.

Not afraid of moving forward in the midst of ambiguity.

**What we require**:
You are able to commit to 39 hour/week.

You are able to commit to 6 week induction training from start.

You are available to work Monday to Friday 9:00 to 16:45.

What’s in it for you?

We recognise we wouldn’t be where we are today without our employees, that’s why we offer such excellent benefits designed to suit you as and when you need them:
A permanent job in an international and growing enterprise

Hybrid role.

Flexible work shift schedule.

IT Kit - We will set you up with home working resources.

24 days holiday per year + Birthday off.

Private Medical and Dental Insurance.

Life Assurance.

A nice team of enthusiastic and diverse team members in different work locations.

A dynamic, young and entrepreneurial company culture that values and stimulates initiative.

Flexible dress code - It’s not about what you wear, it’s about what you can do so why not be comfortable doing it.

What makes Cigna different from other employers?

We go further than just paying insurance claims. Solid customer relationships are our main goal. We also strongly believe in business ethics and continually strive to be cleaner, greener, and respectful of all.

We owe our success to the talent and dedication of our team. They’re the ones who make a difference in our customers’ lives. So we know that it’s important to go the extra mile for our employees. We make sure they have a good work-life balance and we offer many initiatives for health and well-being.

Plus much more

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.