Us In Driving Growth
Healthcare
ClaimsRepresentative
Neural analysis suggests this role is
optimal for Mid candidates.
“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.
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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