# Claims Representative

**Company**: Cigna
**Location**: Kenya One Africa Place
**Job type**: full-time
**Category**: Insurance
**Industry**: Healthcare

**Apply**: https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/Kenya-One-Africa-Place/Claims-Representative--Cigna-Healthcare_26013240-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_2626cfeb-f0f

## Description

We are seeking a Claims Representative to join our team at Cigna. As a Claims Representative, you will play a critical role in adjudicating international medical, dental, and vision claims in accordance with policy terms and conditions.

**Main Duties/Responsibilities:**

- Adjudicate international medical, dental, and vision claims to meet personal and team productivity and quality goals.

- Monitor and highlight high-cost claims and ensure relevant parties are aware.

- Ensure claims are settled within required time scales and highlight any delays to your Supervisor.

- Respond to enquiries regarding plan design, eligibility, claims status, and perform necessary actions as required.

- Interface effectively with internal and external customers to resolve customer issues.

- Identify potential process improvements and make recommendations to team senior.

- Actively support other team members and provide resources to enable all team goals to be achieved.

- Work across the European business in line with service needs.

- Carry out other ad-hoc tasks as required meeting business needs.

**Experience Required:**

- Degree or diploma in a relevant field.

- Customer-focused with the ability to identify and solve problems.

- Ability to meet/exceed targets and manage multiple priorities.

- Proficient in Microsoft Office applications.

- English and arithmetic proficiency required.

- Experience in medical administration, claims environment, or Contact Centre environment is advantageous.

**Skills:**

- Excellent attention to detail with a high level of accuracy.

- Strong interpersonal skills with good verbal and written communication to internal and external clients.

- Strong customer focus with the ability to identify and solve problems.

- Ability to work under own initiative and proactively recommend and implement process improvements.

- Ability to organise, prioritise, and manage workflow to meet individual and team requirements.

- Ability to exercise judgement.

## Skills

### Required
- Microsoft Office applications
- English
- arithmetic
- problem-solving
- communication skills
- attention to detail
- organisational skills
- judgement

### Nice to have
- medical administration
- claims environment
- Contact Centre environment

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Source: [Apply at cigna.wd5.myworkdayjobs.com](https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/Kenya-One-Africa-Place/Claims-Representative--Cigna-Healthcare_26013240-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)