Provider Claims Representative - Cigna Healthcare
Cigna · Madrid
About us
Cigna Corporation is a global health service company dedicated to improving the health, well-being, and peace of mind of those we serve. We provide healthcare products and services, as well as group disability, life, accident, and international insurance—directly to individuals and through employers and intermediaries.
Your mission
Perform critical analysis and processing of medical expense claims within established turnaround times.
Key Responsibilities
Claims Processing
- 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.
Collaboration
- Communicate dossier details accurately to internal stakeholders.
- Identify procedural irregularities and escalate to the Supervisor.
- Raise concerns or sensitivities promptly.
- Contribute to a positive and cooperative team environment.
Skills and Knowledge
- Degree or equivalent experience (e.g., accountancy, mathematics, foreign languages, administration).
- Proficiency in English is required.
- Knowledge of additional languages such as Russian, Polish, Chinese, German, Dutch, French, Italian, Portuguese, or other European and Asian languages is an advantage.
Core Skills
- Decision-making: Ability to take appropriate action based on available information.
- Numerical aptitude: Comfortable working with numbers.
- Accuracy: Committed to error-free data input.
- Discipline: Adheres to procedures and document flows.
- Efficiency: Balances quality and productivity effectively.
- Teamwork: Works collaboratively within a team.
- Technical skills: Quick to learn and use office applications.
- Discretion: Handles confidential medical information responsibly.
What We Offer
- Long-term contract
- Hybrid working model: Work from home 4 days per week and 1 day from our Madrid office (shuttle bus provided).
- Flexible start times: Choose between 07:00 and 09:30 (Monday to Friday, morning intensive shift).
- Comprehensive benefits: Private medical and dental insurance, life assurance, educational development programmes, foreign language scholarships, and flexible compensation options.
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: SeeYourselfEMEA@cigna.com for support. Do not email SeeYourselfEMEA@cigna.com for an update on your application or to provide your resume as you will not receive a response.