Claims Representative

The Cigna Group; Comunidad Valenciana; Híbrido; EUR 25.000 - 45.000; Jornada completa

Descripción de la vacante

An established industry player is seeking a detail-oriented claims processor to join their dynamic team. In this role, you will critically analyze and process medical expense claims while ensuring confidentiality and accuracy. You will enjoy a hybrid working environment, balancing remote work with time in the office. The company offers a multicultural atmosphere, flexible hours, and a comprehensive training program. Join a team dedicated to improving health and well-being, and make a meaningful impact in the lives of others.

Servicios

Private Medical Insurance

Dental Insurance

Life Assurance

Educational Development Program

Foreign Language Scholarship

Flexible compensation

Formación

• Degree or similar experience in foreign languages, translation, or administration.
• Active knowledge of English; knowledge of other languages is a plus.

Responsabilidades

• Process medical expense claims while ensuring medical confidentiality.
• Maintain an efficient workflow and communicate effectively with supervisors.

Conocimientos

Decision making

Numerical skills

Data accuracy

Discipline

Efficiency

Teamwork

Computer proficiency

Discretion

Educación

Degree or similar experience

Herramientas

PC applications

Mainframe applications

Descripción del empleo

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 mission

Critical analysis and processing of claims for medical expenses within the fixed turnaround time.

Key areas

1. Claims processing: Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality.
2. Accurate data input to the PC and mainframe applications.
3. Positioning himself/herself analytically and critically in the context of cost management and in respect of existing working methods.
4. Following up his/her own workload (volume and timing): keeping an eye on chronology and processing time of the work volume and taking suitable actions.
5. Participate efficiently in processing the flow of claims: inform the Supervisor about claims lacking clarity and about possible ways of optimizing processes.
6. A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators.

In relation to other positions

1. Providing accurate communication about a dossier to the interested internal employee.
2. Tracking irregularities in procedures and highlighting these to the Supervisor.
3. Raising problems or sensitivities with your superior.
4. 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 takes the right action on allocated files based on the available information.
• Skilful with numbers and likes to work with them.
• Accurate: works accurately on the input of data, aiming 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. Join us in driving growth and improving lives.