What are the responsibilities and job description for the PSO Claims Representative position at The Cigna Group?
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ABOUT US:
Cigna Corporation is a global health service company. We provide healthcare products and services, group disability, life and accident insurance and international insurance – directly to individuals and through employers and intermediaries.
Cigna’s mission is to help our customers improve their health, well-being and sense of security.
YOUR MISSION:
Critical analysis and processing of claims for medical expenses within the fixed turn around time.
KEY AREAS:
• Claims processing:
- Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality.
- Accurate data input to the PC and mainframe applications.
- Positioning himself/herself analytically and critically in the context of cost management and in respect of existing working methods.
- Following up his/her own workload (volume and timing): keeping an eye on chronology and processing time of the work volume and taking suitable actions.
- Participate efficiently in processing the flow of claims: inform the Supervisor about claims lacking clarity and about possible ways of optimizing processes.
- A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators.
• In relation to other positions:
- Providing accurate communication about a dossier to the interested internal employee.
- Tracking irregularities in procedures and highlighting these to the Supervisor.
- Raising problems or sensitivities with your superior.
- Participating actively in an agreeable and amicable atmosphere.
SKILLS AND KNOWLEDGE:
• Education Level:
- Degree or similar by experience (Foreign languages studies, translation and interpreting, administration).
• Specific Knowledge:
- Required language for the role. Any other language is a plus (Spanish, Italian, Portuguese, Greek, German, Dutch & French)
- Active knowledge of English.
• Skills:
- Skillful in taking decisions: takes the right action on allocated files based on the available information.
- Skillful with numbers: likes to work with numbers.
- Accurate: works accurately on the input of data, aims to work faultlessly.
- Discipline: pays attention to procedures, agreements and document flows.
- Efficient: finds a good balance between quality and quantity.
- Team player: Able to work in a team.
- Skillful with computer programs: readily learns the ropes in the use of current office applications
- Discreet: works discreetly with confidential (medical) information.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.