Claims Representative

This role is at the heart of Cigna s claims processing operation in the Middle East Claims are received from both members and providers and the position holder will be required to organize and track workflow daily to facilitate the consistent attainment of turnaround times and other critical success factors for Claims The position holder will also be expected to respond to queries regarding claims and coming from multiple in-house and external sources thereby freeing the Cigna Claims Team to focus exclusively upon attaining daily targets The role will be required to be organized and efficient and accurate with strong interpersonal skills and preferable an appreciation of medical terms

• Take receipt of submitted claim batches from providers
• and individual claims direct from members
• Log and file claims received for tracking and planning and processing purposes
• Scanning and imaging of hard-copy claims received
• Operations planning
• compiling processing schedules for the Claims Team
• Assemble processing batches and assign to team members
• Accepting finalized claims
• updating status in systems and trackers as required
• Reach out to providers and members
• source additional information as needed to finalize claims
• Resolve inbound queries from providers and members
• maximize first time contact resolution
• Regular claims status reporting
• as specified

• 1 years experience performing a similar role; combining administration and stakeholder contact.
• Experience of working for an international company, preferred but not essential.
• Previous claims or insurance experience preferred but not essential.
• Broad awareness of medical terminology, advantageous.
• Excellent organizational skills, capable of following and contributing to agreed procedure.
• Strong administration awareness and experience, essential.
• Strong skills in Microsoft Office applications, essential.
• First class written and verbal communication skills, essential.
• Ability to communicate across a diverse population, essential.
• Capable of working independently, or as part of a team.
• Good time management: ability to work to tight deadlines.
• Flexible and adaptable approach, sometimes working in a fast-paced environment.
• Passion for achieving agreed objectives.