Claims Advisors Subrogation
Claims Advisors Subrogation
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Job Description
Job Description Partnership Representative
The Position:
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.
The Position:
Cigna Global Health Benefits a division of Cigna International is a leading provider of group healthcare programmes for employees of large multinational organisations and their families. With our continuing global expansion Cigna has an excellent opportunity for an enthusiastic highly motivated and driven individual to join our Partnership team.
Reporting to the Partnership Team Manager you will be responsible for maintaining Cignas membership database relating specifically to Cignas European partnerships. You will process requests from internal and external customers and partners reviewing the request and taking the appropriate action in a timely and accurate manner.
Internal and external clients and partners depend on our accuracy and efficiency when processing client data so you will be accountable for providing these high levels of service in accordance with the company standards and customer expectations
Main Duties / Responsibilities:
- Managing TPA claims processed by Cigna collate within reporting and forward to Partners.
- Exchanging of claims data with the Partners and dealing with queries that arise from the exchange
- Processing of claims associated with the integrated solution.
- Actively support partners and internal team members with queries.
- Engage with providers and partners to make sure that subrogation values are maximised.
- Ensure work is prioritised effectively.
- Carry out other Adhoc tasks as required to meet business needs.
- Contribute to projects and business change when required.
- Review and prepare claims in pre agreed formats for multiple partners.
- Adjusting of claims to incorporate the money returned by partners via subrogation.
Experience Required:
- Proficient in Microsoft Office applications including working with excel and creating dashboards and pivot tables
- Data gathering specific to claims environment
- Experience in medical administration claims processing and customer service
- Ability to organise and prioritise workflow to ensure targets are met
- English and Arithmetic qualification preferred
- Must possess excellent attention to detail with a high level of accuracy
- Strong interpersonal skills with good verbal and written communication
- Confident in making decisions and can exercise judgment where necessary.
- Ability to organise prioritise and manage workflow to meet individual and team requirements.
- Customer focussed with developed problemsolving abilities and a proactive approach to proposing/implementing process improvements
- Good analytical skills
- Ability to navigate systems and applications with ease
- Regulatory awareness
- Ability to work within a large team
- Adaptable to change with a flexible approach to supporting team tasks
- Fluent in French or German essential
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 identity or expression veteran or military status religion national origin ancestry marital or familial status genetic information status with regard to public assistance citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
