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.