Provider Claims Representative

About this role

Responsibilities

• Claims Processing
• Assess and process medical expense claims while maintaining strict medical confidentiality.
• Ensure accurate data entry into PC and mainframe applications.
• Apply analytical and critical thinking in cost management and process optimisation.
• Monitor workload to maintain chronology and processing timelines, taking corrective action as needed.
• Collaborate with the Supervisor on unclear claims and suggest process improvements.
• Strive for high-quality claims handling, accurate reimbursements, and timely transactions.
• Collaboration
• Communicate dossier details accurately to internal stakeholders.
• Identify procedural irregularities and escalate to the Supervisor.
• Raise concerns or sensitivities promptly.
• Contribute to a positive and cooperative team environment.
• Skills and Knowledge
• Degree or equivalent experience (e.g., accountancy, mathematics, foreign languages, administration).
• Proficiency in English is required.
• Knowledge of additional languages such as Russian, Polish, Chinese, German, Dutch, French, Italian, Portuguese, or other European and Asian languages is an advantage.
• Core Skills
• Decision-making: Ability to take appropriate action based on available information.
• Numerical aptitude: Comfortable working with numbers.
• Accuracy: Committed to error-free data input.
• Discipline: Adheres to procedures and document flows.
• Efficiency: Balances quality and productivity effectively.
• Teamwork: Works collaboratively within a team.
• Technical skills: Quick to learn and use office applications.
• Discretion: Handles confidential medical information responsibly.

About Cigna

Cigna Corporation is a global health service company dedicated to improving the health, well-being, and peace of mind of those we serve. We provide healthcare products and services, as well as group disability, life, accident, and international insurance—directly to individuals and through employers and intermediaries. Your mission Perform critical analysis and processing of medical expense claims within established turnaround times.