Us In Driving Growth

Healthcare

ClaimsRepresentative

₹5–8L ~AI est. Bengaluru, India FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid candidates.

The Brief

“Claims Representative at Us In Driving Growth. Skills: Claims processing. Process and complete customer and provider submitted claims. Deliver basic technical claims tasks”

What You'll Achieve.

Meet performance metrics; Exceed performance metrics; Meet productivity metrics; Meet quality metrics

Industry & Context.

Healthcare
Problems you'll solve

Problem solving; Root cause detection

What They're Looking For.

Must Have

Minimum 1.5 years to 3 years of experience in US health care process, Experience in healthcare insurance claims processing

Nice to Have

Bachelor's Degree in Life Science, Bachelor's Degree in Pharmacy, Bachelor's Degree in Paramedical Science, Bachelor's Degree in Nursing

What You'll Do.

Process and complete customer and 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 an effective resolution

Provide a complete resolution

Provide a speedy resolution

How You'll Work.

Team & Collaboration

Work with claim analysts

Communication Scope

Written communication; Oral communication

Full Job Description

**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 produ

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