Provider Claims Representative - Cigna Healthcare

Cigna Healthcare; Madrid; Hybrid; EUR 26,000 - 38,000; Full time

Benefits offered by this job

Private medical insurance

Dental insurance

Life assurance

Educational development programs

Foreign language scholarships

Flexible compensation options

Job summary

Cigna Healthcare, a division of The Cigna Group, seeks a claims processing professional to analyze and process medical expense claims within set turnaround times. The role requires strong English proficiency and attention to confidentiality while entering data into PC and mainframe systems.

We offer a long-term, hybrid work arrangement with potential development opportunities and a comprehensive benefits package designed to support professional growth and work-life balance.

Qualifications

• Degree or equivalent experience (e.g., accountancy, mathematics, foreign languages, administration).
• Proficiency in English is required.
• Knowledge of additional languages such as Russian, Polish, Chinese, German, Dutch, French, Italian, Portuguese, or other European and Asian languages is an advantage.

Responsibilities

• Process medical expense claims within established turnaround times.
• Assess and process claims while maintaining confidentiality.
• Enter data into PC and mainframe applications.
• Apply analytical thinking in cost management and process improvements.
• Monitor workload to maintain timelines; take corrective action.
• Collaborate with Supervisor on unclear claims and suggest improvements.
• Strive for high-quality claims handling, accurate reimbursements, and timely transactions.
• Communicate dossier details to internal stakeholders.
• Identify procedural irregularities and escalate as needed.
• Contribute to a positive, cooperative team environment.

Skills

English proficiency

Analytical thinking

Data entry accuracy

Discretion

Teamwork

Discipline

Efficiency

Decision-making

Numerical aptitude

Education

Degree or equivalent

Tools

Mainframe applications

Office applications

Job description

About Us

Cigna Corporation is a global health service company dedicated to improving the health, well-being, and peace of mind of those we serve. We provide healthcare products and services, as well as group disability, life, accident, and international insurance—directly to individuals and through employers and intermediaries.

Your mission

Perform critical analysis and processing of medical expense claims within established turnaround times.

Key Responsibilities

Claims Processing

• Assess and process medical expense claims while maintaining strict medical confidentiality.
• Ensure accurate data entry into PC and mainframe applications.
• Apply analytical and critical thinking in cost management and process optimisation.
• Monitor workload to maintain chronology and processing timelines, taking corrective action as needed.
• Collaborate with the Supervisor on unclear claims and suggest process improvements.
• Strive for high-quality claims handling, accurate reimbursements, and timely transactions.

Collaboration

• Communicate dossier details accurately to internal stakeholders.
• Identify procedural irregularities and escalates to the Supervisor.
• Raise concerns or sensitivities promptly.
• Contribute to a positive and cooperative team environment.

Skills And Knowledge

• Degree or equivalent experience (e.g., accountancy, mathematics, foreign languages, administration).
• Proficiency in English is required.
• Knowledge of additional languages such as Russian, Polish, Chinese, German, Dutch, French, Italian, Portuguese, or other European and Asian languages is an advantage.

Core Skills

• Decision-making: Ability to take appropriate action based on available information.
• Numerical aptitude: Comfortable working with numbers.
• Accuracy: Committed to error-free data input.
• Discipline: Adheres to procedures and document flows.
• Efficiency: Balances quality and productivity effectively.
• Teamwork: Works collaboratively within a team.
• Technical skills: Quick to learn and use office applications.
• Discretion: Handles confidential medical information responsibly.

What We Offer

• Long-term contract
• Hybrid working model: Work from home 4 days per week and 1 day from our Madrid office (shuttle bus provided).
• Flexible start times: Choose between 07:00 and 09:30 (Monday to Friday, morning intensive shift).
• Comprehensive benefits: Private medical and dental insurance, life assurance, educational development programmes, foreign language scholarships, and flexible compensation options.

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.