Us In Driving Growth
Healthcare
ClaimsAssociateRepresentative
Neural analysis suggests this role is
optimal for Entry candidates.
“Claims Associate Representative at Us In Driving Growth. Skills: Claims processing, Problem solving, Data analysis. Process customer submitted claims. Complete customer submitted claims”
What You'll Achieve.
Meet performance metrics; Exceed performance metrics; Speed of work; Accuracy of work
Industry & Context.
Problem solving; Root cause detection; Data analysis
What They're Looking For.
Must Have
Bachelor’s Degree in Life Science/ Pharmacy/Paramedical Science/Nursing etc., 1 year of experience in prior health care process or processing of US healthcare insurance claims
Nice to Have
Fresh graduate to 1 year of experience in prior health care process or processing of US healthcare insurance claims will be an added advantage
What You'll Do.
Process customer submitted claims
Complete customer submitted claims
Process provider submitted claims
Complete provider submitted claims
Deliver basic technical claims tasks
Deliver administrative claims tasks
Deliver operative claims tasks
Perform claims duties under direct instructions
Resolve issues quickly
Provide effective resolution
Provide complete resolution
Provide speedy resolution
How You'll Work.
Team & Collaboration
Work with a team of claim analysts
Communication Scope
Written communication; Oral communication
Full Job Description
**Job Profile -** Claims Associate Representative **Job Description –** Have a passion for solving problems? Dedicated to improving customer experience? Love digging in to research and analyses complex issues? The Claims Associate 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 seek 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 Life Science/ Pharmacy/Paramedical Science/Nursing etc. * Fresh graduate to 1 year of experience in prior health care process or processing of US healthcare insurance claims will be an added advantage. **Skills Required -** * Demonstrated ability to consistently meet and exceed performance metrics suc
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