C

Cigna Group

Sells health coverage and pharmacy benefits

Medical Claims Review Analysts

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeDubai - United Arab EmiratesNo salary listedHybrid

About the Job

Responsibilities

  • Medically scrutinize and justify prescribed treatments or services to help the IP department finalize cases.
  • Finalize assigned claims and pre-authorization request cases.
  • Maintain IP pre-approvals and the claims processing and adjudication cycle within NHS software systems according to organizational terms and policies.
  • Follow regulations established by regulatory authorities such as MoH and DHA.

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

Recently Posted Jobs

Explore more opportunities at Cigna Group

See more jobs