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Cigna Group

Sells health coverage and pharmacy benefits

Provider Claims Representative

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeMadrid, SpainNo salary listed

About the Job

Requirements

  • A degree or equivalent experience in accountancy, mathematics, foreign languages, administration, or a comparable area.
  • Proficiency in English.
  • Ability to make appropriate decisions based on available information.
  • Numerical aptitude and comfort working with numbers.
  • Accuracy in data input.
  • Ability to adhere to procedures and document flows.
  • Ability to balance quality and productivity effectively.
  • Ability to work collaboratively within a team.
  • Ability to learn and use office applications quickly.
  • Ability to handle confidential medical information responsibly.

Responsibilities

  • Assess and process medical expense claims while maintaining strict medical confidentiality.
  • Ensure accurate data entry into PC and mainframe applications.
  • Apply analytical and critical thinking in cost management and process optimisation.
  • Monitor workload to maintain chronology and processing timelines, taking corrective action as needed.
  • Collaborate with the Supervisor on unclear claims and suggest process improvements.
  • Strive for high-quality claims handling, accurate reimbursements, and timely transactions.
  • Communicate dossier details accurately to internal stakeholders.
  • Identify procedural irregularities and escalate them to the Supervisor.
  • Raise concerns or sensitivities promptly.
  • Contribute to a positive and cooperative team environment.

Desired Qualifications

  • Knowledge of additional languages such as Russian, Polish, Chinese, German, Dutch, French, Italian, Portuguese, or other European and Asian languages.

About the Company

Cigna Group

Sells health coverage and pharmacy benefits

The Cigna Group sells health coverage and pharmacy services to employers, health plans and individuals, and most of its business runs through Evernorth, its health services arm. Evernorth owns Express Scripts, one of the largest pharmacy benefit managers in the U.S., which negotiates drug prices and processes prescriptions for plan sponsors, plus the specialty pharmacy Accredo. Its Cigna Healthcare unit sells medical, dental and behavioral coverage, mostly to employers that fund their own plans, and earns premiums and administrative fees, while Evernorth earns service fees and drug margins. The company was formed in 1982 through the merger of Connecticut General and INA and is based in Bloomfield, Connecticut.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Bloomfield, CT
Founded
1982

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