Claims Representative
POSITION : Claims Representative (Fresh graduate)
REPORTING TO : Claims Supervisor
DEPARTMENT : GIH Claims Department
Job Description
Cigna is one of the world’s leading providers of health care, expatriate employee benefits, life, accidental
and supplemental health insurance. Headquartered in the US and listed in NYSE, the Company operates in
countries across the Americas, Europe, Africa and Asia Pacific.
Cigna Global Health Benefits (CGHB) is an integral part of Cigna's growing international businesses. Product
types include: Medical, Dental, Vision, Life, AD&D, Disability, Travel, etc., sold to groups and individuals. We
have approximately 1 million medical members around the world.
Scope
Critical analysis and processing of claims for medical expenses within the fixed turn around time.
Job content
Claims processing
• Assessing and processing claims for medical expenses while always bearing in mind the importance
of medical confidentiality.
• Accurate data input to the system applications.
• Positioning him/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 Team Leader about claims lacking
clarity and about possible ways of optimizing the 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 Team Leader.
PROFILE
Education Level
• Bachelor Degree in Medical sciences field.
Specific Knowledge
• Active knowledge of English and medical sciences background
• Policies cover
• Medical terminology
• Use of necessary reference works
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 and
own Cigna International systems.
• Discreet: works discreetly with confidential (medical) information.
About The Cigna Group
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.