Talent.com
Claims Representative

Claims Representative

ConfidentialBengaluru / Bangalore, India
30+ days ago
Job description

About Us

At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day.

One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being.

CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization.

Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us!

Process Overview

  • EU insurance claims processing for individual, employer, group, and provider.

Job Description

  • Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and / or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles.
  • Responsibilities : -

  • Adjudicate international claims in accordance with policy terms and conditions. M
  • Monitor SLA times to ensure your claims are settled within required time scales.
  • Respond to all claim enquiries within set SLA performing the necessary action as required, striving for first contact resolution where possible.
  • Communicate effectively with internal and external stakeholders to deliver excellent customer outcomes.
  • Identify potential process improvements and make recommendations to team senior.
  • Actively support other team members and provide resource to enable all team goals to be achieved.
  • Carry out other adhoc tasks as required in meeting business needs.
  • Work cohesively in a team environment.
  • Adhere to policies and practices, training, and certification requirements.
  • Requirements

  • Working knowledge of the insurance industry and relevant federal and state regulations.
  • Good English language communication skills, both verbal and written.
  • Computer literate and proficient in MS Office.
  • Excellent critical thinking and decision-making skills.
  • Ability to meet / exceed targets and manage multiple priorities.
  • Must possess excellent attention to detail, with a high level of accuracy.
  • Strong interpersonal skills.
  • Strong customer focus with ability to identify and solve problems.
  • Ability to work under own initiative and proactive in recommending and implementing process improvements.
  • Ability to organise, prioritise and manage workflow to meet individual and team requirements.
  • Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential.
  • Education

  • : Graduate (Any) - medical, Paramedical, Commerce, Statistics, Mathematics, Economics or Science.
  • Experience Range

  • : Minimum 2 years and up to 4 years of experience in processing of global healthcare insurance claims.
  • Foundational Skills

  • Expertise in EU insurance claims processing
  • Work Timings

  • : 1 : 00-10 : 00 PM IST
  • Job Location

  • : Bengaluru (Bangalore)
  • About The Cigna Group

    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.

    Skills Required

    Ms Office, Data Entry

    Create a job alert for this search

    Representative • Bengaluru / Bangalore, India

    Related jobs
    • Promoted
    Claims Supervisor

    Claims Supervisor

    ConfidentialBengaluru / Bangalore, India
    At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for o...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Support Specialist

    Claims Support Specialist

    ConfidentialBengaluru / Bangalore, India
    This is a full-time on-site role for a Claims Support Specialist, located in Bengaluru.The role involves providing assistance in resolving claims-related issues, troubleshooting, and ensuring timel...Show moreLast updated: 17 days ago
    • Promoted
    Claims and AR Dental Billing Agent

    Claims and AR Dental Billing Agent

    iCoreBengaluru, IN
    We are seeking a detail-oriented and organized Dental Claims Submission and Accounts Receivable (AR) Agent to join our dental practice team. This role is responsible for the timely submission of den...Show moreLast updated: 3 days ago
    • Promoted
    Avp - Claims Handling (Us Healthcare)

    Avp - Claims Handling (Us Healthcare)

    Selections HR Services Private LimitedBengaluru, Republic Of India, IN
    AVP – Claims Operations (US Healthcare).The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portf...Show moreLast updated: 3 days ago
    • Promoted
    AVP - Claims handling (US Healthcare)

    AVP - Claims handling (US Healthcare)

    ConfidentialBengaluru / Bangalore, India
    AVP – Claims Operations (US Healthcare).The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portf...Show moreLast updated: 4 days ago
    • Promoted
    Claims Management Associate Manager

    Claims Management Associate Manager

    ConfidentialBengaluru / Bangalore, India
    Property & Casualty- Claims Processing - Insurance Claims.Claims Management Associate Manager.Accenture is a global professional services company with leading capabilities in digital, cloud and sec...Show moreLast updated: 22 days ago
    • Promoted
    Team Leader, US Mortgage Claims

    Team Leader, US Mortgage Claims

    ConfidentialBengaluru / Bangalore
    Supervise and lead a group of associates to meet all SLAs relatives to all functions in the department.Maintain daily, weekly, and monthly production reports along with MBR and QBR including prepar...Show moreLast updated: 30+ days ago
    • Promoted
    Hiring For Claims handler / claims associate

    Hiring For Claims handler / claims associate

    ConfidentialBengaluru / Bangalore
    Document claim file by accurately capturing and updating claims data / information in compliance with best practices for low to moderate. Property and Content damage and Liability / Injury claims.Exerci...Show moreLast updated: 30+ days ago
    • Promoted
    Fire & Home Insurance Claims

    Fire & Home Insurance Claims

    ConfidentialBengaluru / Bangalore, India
    The Senior Associate / Specialist - Home Insurance Claims Handler will manage and process claims filed by.The role involves handling claims for both self-owned and. The claims handled may arise from v...Show moreLast updated: 22 days ago
    • Promoted
    Claims Management Specialist

    Claims Management Specialist

    ConfidentialBengaluru / Bangalore, India
    Property & Casualty- Claims Processing - Insurance Claims.Accenture is a global professional services company with leading capabilities in digital, cloud and security. Combining unmatched experience...Show moreLast updated: 22 days ago
    • Promoted
    AVP - Claims handling (US Healthcare)

    AVP - Claims handling (US Healthcare)

    Selections HR Services Private LimitedBengaluru, Karnataka, India
    AVP – Claims Operations (US Healthcare).The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portf...Show moreLast updated: 3 days ago
    • Promoted
    Fluence - Manager - Contracts & Claims

    Fluence - Manager - Contracts & Claims

    FLUENCE BESS INDIA PRIVATE LIMITED (FLUENCE BESS INDIA PRIVATE LIMITED)(23432)Bangalore, India
    Skills Required : Contracts and Claims Manager APAC for upstream and downstream.Oversee all aspects of contract administration and claims management, including the analysis and resolution of claims ...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Associate Representative

    Claims Associate Representative

    Cigna GroupBengaluru, Karnataka, India
    Claims Associate Representative : Band 1.Have a passion for solving problems Dedicated to improving the customer experience Love digging in to research and analyse complex issues.The Claims Associat...Show moreLast updated: 13 days ago
    • Promoted
    Contracts and Claims Manager

    Contracts and Claims Manager

    ConfidentialBengaluru / Bangalore, India
    Fluence (Nasdaq : FLNC) is a global market leader delivering intelligent energy storage and optimization software for renewables and storage. Our solutions and operational services are helping to cre...Show moreLast updated: 22 days ago
    • Promoted
    Premium Representative

    Premium Representative

    Cigna GroupBengaluru, Karnataka, India
    Job Description Premium Representative.Title used : Enrollment / Billing Representative (P01046).In the Premium Representative role you will be responsible for providing world class customer service ...Show moreLast updated: 9 days ago
    • Promoted
    Claims Associate Representative

    Claims Associate Representative

    ConfidentialBengaluru / Bangalore, India
    Claims Associate Representative : Band 1.Have a passion for solving problems Dedicated to improving the customer experience Love digging in to research and analyse complex issues.The Claims Associat...Show moreLast updated: 18 days ago
    • Promoted
    Specialist Claims Processor

    Specialist Claims Processor

    ConfidentialBengaluru / Bangalore, India
    Our vision for the future is based on the idea that transforming financial lives starts by giving our people the freedom to transform their own. We have a flexible work environment, and fluid career...Show moreLast updated: 22 days ago
    • Promoted
    Senior Claims Manager - Medical Claim Audit

    Senior Claims Manager - Medical Claim Audit

    ConfidentialBengaluru / Bangalore, India
    The Process Excellence team at Navi is focused on maintaining and elevating the quality of customer interactions.As the quality audit function, the team conducts regular audits of agent communicati...Show moreLast updated: 22 days ago