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Claims Representative - Remote

Posted 2 days ago
Customer Service
Full Time
Worldwide

Overview

The Claims Representative is responsible for the critical analysis and processing of medical expense claims, ensuring confidentiality and accuracy while managing workload effectively.

In Short

  • Process and assess claims for medical expenses.
  • Ensure confidentiality of medical information.
  • Accurate data input into system applications.
  • Monitor workload and processing times.
  • Communicate effectively with internal employees.
  • Track irregularities and report to Team Leader.
  • Participate in a collaborative team environment.
  • Maintain high-quality claims handling.
  • Work efficiently balancing quality and quantity.
  • Discreetly handle confidential information.

Requirements

  • Bachelor Degree or equivalent experience.
  • Active knowledge of English.
  • Familiarity with medical terminology.
  • Skillful in decision making and working with numbers.
  • Accurate data entry skills.
  • Discipline in following procedures.
  • Team player with good communication skills.
  • Proficient in computer applications.
  • Ability to handle confidential information discreetly.

Benefits

  • Opportunity to contribute to meaningful health initiatives.
  • Work with a dedicated team at Cigna Healthcare.
  • Engage in a supportive and collaborative work environment.
  • Potential for career growth within the organization.
  • Access to resources for professional development.

MDLive

MDLive

520 eviCore healthcare MSI, LLC, a part of Evernorth Health Services and The Cigna Group, is dedicated to creating innovative pharmacy, care, and benefit solutions aimed at improving health and enhancing vitality. The company focuses on making healthcare more accessible through expert medical reviews and clinical services, ensuring that patients receive the necessary care while adhering to utilization management standards. With a commitment to continuous improvement and support for healthcare professionals, 520 eviCore healthcare MSI, LLC plays a vital role in the healthcare ecosystem, driving growth and improving lives.

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