Administrative Services Associate Representative

Evernorth Health Services; Bengaluru; On-site; INR 300,000 - 420,000; Full time

Job summary

The Cigna Group’s Cigna Healthcare division seeks a meticulous back-office specialist to organize and process incoming and outgoing documents (paper and electronic). The role ensures timely delivery of quality work to meet service level agreements across claims handling.

You will document claims, vet them for payment, prepare reports, and coordinate communications between members and providers, using CRM tools and office software. Strong English and independent planning are essential.

Qualifications

• Active English language knowledge; additional languages a plus.
• Ability to plan and organize tasks independently.
• Attention to detail with accurate data input.
• Ability to work under pressure and meet SLAs.
• Confidential information handling and discretion.

Responsibilities

• Receive and document electronic and paper claims.
• Sort, process, and vet claims for payment.
• Manage file data and supporting reporting.
• Transmit claims electronically to platforms.
• Coordinate flow between members and provider claims.
• Process claims within defined turnaround times.
• Handle multiple channels of claim receipt.
• Cross-reference emails from members and providers.
• Perform other duties as assigned.

Skills

English proficiency

Attention to detail

Planning & organising

Time management

Discretion

Data entry accuracy

CRM systems

Spreadsheet & word

Team player

Adaptability

Tools

Salesforce CRM

Spreadsheet software

Word processing

Job description

Job Description

Responsible for organizing and processing the flow of incoming and outgoing documents (paper electronic) in a back-office environment. The candidate ensures there is consistency in timely delivery of quality and quantity to meet set parameters measures to meet Service Level Agreements

Responsibilities

• Receiving and documenting claims both electronic and paper claims
• Sorting, processing, and vetting of claims firsthand for claims payment and ensuring they are accurately assigned.
• File management and classification of data and supporting reporting compilation.
• Electronic transfer of received claims to the various platforms.
• Managing the flow between members and provider claims
• Processing member and provider claims within stipulated Turn Around Times
• Managing the different channels through which claims are received.
• Cross referencing of emails received from members and providers for further processing.
• Any other tasks as allocated.

Requirements

• Active language knowledge of at least English (additional languages are a plus)
• Executes assignments accurately and pays attention to detail.
• Ability to plan and organise tasks independently.
• Excellent time management skills with ability to continuously prioritize set tasks accordingly.
• Upholds utmost discretion when handling confidential information.
• Ability to handle large quantities of paper and electronic documents.
• Works to deliver consistently even under pressure.
• Self-Driven and can work with little or no supervision.
• Ability to work collaboratively within a team.
• Proficient in the use of Spreadsheets, word-processing and associated office IT Skills with CRM systems (e.g.) Salesforce with accurate data inputting.
• Accountability - assumes ownership for achieving personal results.
• Customer focused while executing mundane tasks.
• Copes well in a changing environment

About The Cigna Group

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 our health and vitality. Join us in driving growth and improving lives.