Claims Representative- Cigna Healthcare

The job profile for this position is Claims Representative, which is a Band 1 Professional Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. What does Cigna do? Cigna provides health insurance services around the world. We’re passionate about helping people improve their health, well-being, and sense of security. We started over 200 years ago and we continued to innovate and expand ever since. What makes Cigna different from other employers? We go further than just paying insurance claims. Solid customer relationships are our main goal. We also strongly believe in business ethics and continually strive to be cleaner, greener, and respectful of all. We owe our success to the talent and dedication of our team. They’re the ones who make a difference in our customers’ lives. So we know that it’s important to go the extra mile for our employees. We make sure they have a good work-life balance, and we offer many initiatives for health and well-being. Main Duties/Responsibilities:   • Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.  • Monitor and highlight high cost claims and ensure relevant parties are aware.  • Monitor turn around times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable.  • Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first call resolution where possible.  • Interface effectively with internal and external customers to resolve customer issues.  • Identify potential process improvements and make recommendations to team senior.  • Actively support other team members and provide resource to enable all team goals to be achieved.  • Work across European business in line with service needs.  • Carry out other adhoc tasks as required meeting business needs. Experience Required:  • Degree or diploma in a relevant field • Customer focused with ability to identify and solve problems. • Ability to meet/exceed targets and manage multiple priorities.  • Proficient in Microsoft Office applications.  • English and Arithmetic proficiency required.  • Experience in medical administration, claims environment or Contact Centre environment is advantageous.  Skills:  • Must possess excellent attention to detail, with a high level of accuracy.  • Strong interpersonal skills with good verbal and written communication to internal and external clients.  • Strong customer focus with ability to identify and solve problems.  • Ability to work under own initiative and proactive in recommending and implementing process improvements.  • Ability to organise, prioritise and manage workflow to meet individual and team requirements  • Ability to exercise judgement. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender id