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Provider Claims Representative

  • Job
    Full-time
    Entry, Junior & Mid Level
  • Accounting & Tax
    Healthcare
  • Madrid

AI generated summary

  • You need a degree or relevant experience, strong English, and knowledge of a European language. Skills include decision-making, accuracy, efficiency, teamwork, and discretion with confidential info.
  • You will analyze, process, and manage medical claims efficiently, ensuring confidentiality, accuracy, and timely completion while communicating effectively and improving workflows.

Requirements

  • Education Level: Degree or similar by experience (Foreign languages studies, translation and interpreting, administration, accountancy).
  • Specific Knowledge: Active knowledge of English. Good knowledge of any of these languages is a plus: German, Dutch, Greek, French, Italian, Portuguese, or any other European language.
  • 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.

Responsibilities

  • Critical analysis and processing of claims for medical expenses within the fixed turn around time.
  • 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 optimising the processes.
  • A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators.
  • 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.

FAQs

What is the main responsibility of a Provider Claims Representative?

The main responsibility is the critical analysis and processing of claims for medical expenses within a fixed turnaround time, while ensuring the importance of medical confidentiality.

What qualifications are required for this position?

A degree or equivalent experience in areas such as foreign languages studies, translation and interpreting, administration, or accountancy is required.

What languages are beneficial for this role?

Active knowledge of English is essential, and a good knowledge of German, Dutch, Greek, French, Italian, Portuguese, or any other European language is a plus.

What kind of work environment does Cigna offer?

Cigna offers a multicultural working environment with hybrid working options, allowing employees to work from home three days a week and two days from the Madrid office.

What are the available working hours for this position?

Shifts start from 7:00 to 9:30, with the possibility for employees to choose a start time that suits them best from Monday to Friday during the morning intensive shift.

What training is provided for new employees?

New employees will undergo a training period of six weeks, with two weeks in the office and four weeks to be discussed, with a schedule from 9:00 to 16:48.

What social benefits are offered to employees?

Employees receive private medical and dental insurance, life assurance, an educational development program, foreign language scholarships, and flexible compensation options.

What is the start date for this position?

The start date for this position is April 7, 2025.

Is there any support for reasonable accommodations during the application process?

Yes, applicants requiring reasonable accommodation in completing the online application process can email SeeYourselfEMEA@cigna.com for support.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

The Cigna Group is a global health company committed to creating a better future built on the vitality of every individual and every community. We relentlessly challenge ourselves to partner and innovate solutions for better health. The Cigna Group includes products and services marketed under Cigna Healthcare, Evernorth Health Services or its subsidiaries. The Cigna Group maintains sales capabilities in more than 30 countries and jurisdictions, and has more than 190 million customer relationships around the world.