Claims Representative

hace 3 meses


Madrid, España The Cigna Group A tiempo completo

DESCRIPCIÓN

Somos una compañía global de Seguros de Salud enfocada fundamentalmente al mercado corporativo. Reconocidos por nuestro nivel de servicio y la calidad de nuestros productos, ofrecemos una amplia gama de planes y servicios relacionados con la salud y el bienestar creados para cubrir las necesidades de nuestros clientes.

Nuestro éxito se lo debemos al talento y la dedicación de nuestros equipos. Ellos son quienes marcan la diferencia en la vida de nuestros clientes. Así que sabemos que es importante hacer un esfuerzo adicional para nuestros empleados. Nos aseguramos de que tengan un buen equilibrio trabajo-vida y ofrecemos numerosas iniciativas para la salud y el bienestar.

Buscamos incorporar al equipo de operaciones de la compañía un tramitador de siniestros con experiencia, con alta capacidad de trabajo, proactiva, con un perfil muy orientado a la excelencia en el servicio, metódica y organizada.

La persona seleccionada se incorporará a un equipo de trabajo actualmente en modelo híbrido, con todo el soporte y herramientas tecnológicas necesarias tanto para la formación como para poder desempeñar la función adecuadamente.

FORMACIÓN Y EXPERIENCIA

  • Experiencia en departamentos de facturación/prestaciones de seguros de salud o centros sanitarios.
  • Experiencia mínima: 1 año.

FUNCIONES PRINCIPALES Y RESPONSABLIDADES

  • Tramitador y grabador de siniestros de salud de Reembolsos.

CAPACIDADES Y REQUISITOS

La persona seleccionada debe además:

  • Estar acostumbrada a trabajar bajo objetivos y tiempos de producción.
  • Conocer el  impacto de los procesos de facturación y liquidación a asegurados en el negocio asegurador.
  • Estar habituada al manejo de codificación, nomenclátor OMC, coberturas, grabación y pago de prestaciones y revisión de facturas de procesos sencillos.
  • Poseer una excelente capacidad de organización y planificación de prioridades.
  • Estar habituada a la interlocución con asegurados.
  • Contribuir a la consecución de objetivos globales e individuales y conocer la importancia del proceso bajo su responsabilidad.
  • Ser responsable, organizada, rigurosa, metódica, dinámica, con autonomía para trabajar, con interés por aprender y mejorar constantemente y con claras habilidades de trabajo en equipo, proporcionando un entorno positivo, abierto y agradable.
  • Tener conocimiento a nivel medio para el uso de herramientas informáticas: Paquete Microsoft Office y Salesforce.
  • Comunicación con los demás departamentos relacionados con el proceso (Gestión Asistencial, Customer Service,..)

CAPACIDADES

  • Introducción de datos en el sistema de facturación a alto ritmo y estándares de calidad requerida.
  • Proactividad.
  • Dinamismo.
  • Organización.
  • Capacidad de decisión.
  • Trabajo en equipo.
  • Interés por aprender y mejorar constantemente.

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.


  • Claims Representative

    hace 3 semanas


    Madrid Centro, Madrid, España The Cigna Group A tiempo completo

    About The Cigna GroupWe are a global health service company dedicated to 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 SummaryWe are seeking a skilled Claims Representative to join our team. As a Claims Representative, you will be...

  • Claims Representative

    hace 3 semanas


    Madrid Centro, Madrid, España The Cigna Group A tiempo completo

    About The Cigna GroupWe are a global health service company dedicated to 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 SummaryWe are seeking a skilled Claims Representative to join our team. As a Claims Representative, you will be...


  • Madrid Centro, Madrid, España Cigna A tiempo completo

    {"Job Title": "IOH Claims Senior Representative", "Job Summary": "We are seeking a highly motivated and driven individual to join our Operations Team as an IOH Claims Senior Representative. In this role, you will support the Supervisor and provide leadership to staff on a daily basis, ensuring KPIs are met across the Claims Organization.", "Key...


  • Madrid Centro, Madrid, España Cigna A tiempo completo

    {"Job Title": "IOH Claims Senior Representative", "Job Summary": "We are seeking a highly motivated and driven individual to join our Operations Team as an IOH Claims Senior Representative. In this role, you will support the Supervisor and provide leadership to staff on a daily basis, ensuring KPIs are met across the Claims Organization.", "Key...


  • Madrid Centro, Madrid, España Cigna A tiempo completo

    {"Job Title": "IOH Claims Senior Representative", "Job Summary": "We are seeking a highly motivated and driven individual to join our Operations Team as an IOH Claims Senior Representative. In this role, you will support the Supervisor and provide leadership to staff on a daily basis, ensuring KPIs are met across the Claims Organization.", "Key...


  • Madrid Centro, Madrid, España Cigna A tiempo completo

    {"Job Title": "IOH Claims Senior Representative", "Job Summary": "We are seeking a highly motivated and driven individual to join our Operations Team as an IOH Claims Senior Representative. In this role, you will support the Supervisor and provide leadership to staff on a daily basis, ensuring KPIs are met across the Claims Organization.", "Key...


  • Madrid, España Cigna A tiempo completo

    Job Description Summary Delivers specific delegated Claims tasks assigned by a supervisor. Examines and processes paper claims and/or electronic claims. Determines whether to return, pend, deny or pay claims within policies. Determines steps necessary for adjudication. Follows established departmental policies and procedures, operating memos and corporate...


  • Madrid, España The Cigna Group A tiempo completo

    Job Description SummaryDelivers specific delegated Claims tasks assigned by a supervisor. Examines and processes paper claims and/or electronic claims. Determines whether to return, pend, deny or pay claims within policies. Determines steps necessary for adjudication. Follows established departmental policies and procedures, operating memos and corporate...


  • 28223 Pozuelo de Alarcón, Madrid provincia, España The Cigna Group A tiempo completo

    Job Description Summary- - Job Description **The Position**: One vacancy has arisen within IOH Provider Claims in Madrid opening up the opportunity for a enthusiastic, highly motivated, and driven individuals to join Our Operations Team in the role of IOH Claims Senior Representative. You will support the Supervisor and provide leadership to staff on a...


  • Madrid, España The Cigna Group A tiempo completo

    .Job Description Summary Delivers specific delegated Claims tasks assigned by a supervisor. Examines and processes paper claims and/or electronic claims. Determines whether to return, pend, deny or pay claims within policies. Determines steps necessary for adjudication. Follows established departmental policies and procedures, operating memos and corporate...

  • Claims Representative

    hace 2 meses


    Madrid, España The Cigna Group A tiempo completo

    The job profile for this position is Claims Representative, which is a Band 1 Professional Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we...


  • Madrid, España Cigna A tiempo completo

    About usCigna 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 security. We are an...


  • Madrid, España The Cigna Group A tiempo completo

    Job Description SummaryDelivers specific delegated Claims tasks assigned by a supervisor. Examines and processes paper claims and/or electronic claims. Determines whether to return, pend, deny or pay claims within policies. Determines steps necessary for adjudication. Follows established departmental policies and procedures, operating memos and corporate...

  • Claims Representative

    hace 3 meses


    Madrid, España The Cigna Group 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 security.  Your...


  • 28223 Pozuelo de Alarcón, Madrid provincia, España The Cigna Group 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 security. We are...


  • Madrid, España The Cigna Group 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 security. We are...


  • Madrid, España The Cigna Group A tiempo completo

    About usCigna 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 security. We...

  • Claims Representative

    hace 2 meses


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

    .JOB DESCRIPTIONAt this level, role holders manage all level complaints and deal with customers, providers and other third parties when required using any of the communication channels provided such as phone or email. The claim assessor reports directly to the Claims Manager of the section.Role Purpose:Provide the highest level of customer service, striving...

  • Claims Representative

    hace 4 meses


    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...

  • Claims Representative

    hace 2 meses


    Madrid, España Cigna A tiempo completo

    JOB DESCRIPTIONAt this level, role holders manage all level complaints and deal with customers, providers and other third parties when required using any of the communication channels provided such as phone or email. The claim assessor reports directly to the Claims Manager of the section.Role Purpose:Provide the highest level of customer service, striving...