Claims Representative

Job Profile -

Claims Representative

Job Description –

Have a passion for solving problems?  Dedicated to improving customer experience?  Love digging in to research and analyze complex issues? 

The Claims Representative’s primary responsibility is to process and complete customer and provider submitted claims. Deliver basic technical, administrative, or operative claims tasks and perform claims duties under direct instructions and close supervisions.

Job Responsibilities –

• Work in a production environment, where success is measured by the speed and accuracy of your work. It’s critical to resolve issues quickly, but also to avoid making the problem worse by committing another mistake.  Success in this role will be built on a balance between productivity and attention to detail.  We will approach a complaint as an opportunity to please a dissatisfied customer by providing an effective, complete and speedy resolution.      

• Rely on a well-developed set of functional and technical claim skills developed over years of claim experience. You’ll work shoulder-to-shoulder with a team of highly trained, highly experienced claim analysts with a diverse set of skills, ready to solve any problem presented by the Cigna Global customer base.  Training in this role will help to add skills related to problem solving, effective communication, in-depth research, root cause detection, data analysis and more.

• Be a Subject Matter Expert in your field.  We need people who know the Cigna Global claim world intimately, and have a deep knowledge of the systems, tools and processes used throughout the department. 

Qualifications -

• Bachelor’s Degree in any ~ (Life Science/ Pharmacy/Paramedical Science/Nursing will be an added advantage)
• Minimum 1 .5 years to 3 years of experience in US health care process, especially in healthcare insurance claims processing.

Skills Required -

• Demonstrated ability to consistently meet and exceed performance metrics such as productivity and quality.
• Adept computer skills, with experience navigating multiple systems to complete a single task.
• Intermediate to advanced skills using Microsoft Office products, specifically Excel and Outlook.
• Excellent written and oral communication skills.
• Strong interpersonal skills with accountability.
• Ability to work under own initiative and proactive in recommending and implementing process improvements.
• Ability to organize, prioritize and manage workflow to meet individual and team requirements.

Job Location - Bengaluru, India (Work from office)

Work Shift - 17:00 to 02:00 IST (core US shift)

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