Cigna Jobs For Claims Representative

Website Cigna

Job Description:

Help our customers maintain their health, well-being and sense of security by ensuring medical claims are processed accurately and timely for healthcare providers and policy holders while protecting the confidentiality of our customer’s personal health information. Under direct supervision performs duties relating to the claims adjudication process from review of the claim form, verification of eligibility, verification of coordination of benefits with insurance carriers, and finalizing based on the health benefits plan. Technical advice and assistance will be provided by Technical Coaches.

Job Responsibilities:

  • Review claim submissions to confirm required documents have been received, verify medical codes, eligibility, other insurance, authorizations, and account benefit plans.
  • Follows established policies and procedures to pay, pend for additional information, or deny claims.
  • Adapt to and positively influence change by accepting feedback with a growth mindset to continuously improve.
  • Follow processes and work independently to meet or exceed Key Performance Indicators (KPI)
  • Ability to effectively excel in a virtual work environment through active participation in team huddles, Supervisor 1×1 or check-ins, using a variety of virtual tools, i.e. Outlook email, Skype for Business, Cisco Web-Ex or other similar applications.
  • Maintains a high level of accuracy in all duties performed.
  • Team members will be held accountable for meeting and maintaining minimum quality and production standards through use of Management Operating Systems (MOS) tools: Daily Production Log (DPL), Performance Profile, Claim Review tool, and other reporting systems.

Job Requirements:

  • Must possess strong attention to detail and problem-solving skills with a high level of accuracy
  • High level of computer navigational skills with experience using shortcut keys
  • Proficient in Microsoft Office applications, Word, Excel, Outlook, OneNote, and Power Point
  • Knowledge of medical and insurance industry terminology including CPT/ICD-10 codes
  • Excellent organizational, interpersonal, written and verbal communication skills
  • Experience in delivering exceptional customer service
  • Ability to perform comfortably in a fast-paced, deadline-oriented work environment
  • Must be able to type and use a keyboard for extended periods of time

Qualification & Experience:

Job Details:

Company:  Cigna

Vacancy Type: Part Time

Job Functions: Engineering

Job Location: Chattanooga, TN, US

Application Deadline: N/A

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