Claims/subrogation Advisor
7 months ago
Job Description - Partnership Claims Representative
**The Position**:
Cigna UK Health Benefits is continuing to grow, as is our experience and expertise.
**Main Duties / Responsibilities**:
- Review and prepare claims in pre agreed formats for multiple partners.
- Exchanging of claims data with the partners and dealing with queries that arise from the exchange.
- Processing of claims associated with the integrated solution.
- Adjusting of claims to incorporate the money returned by partners via subrogation.
- Actively support partners and internal team members with queries.
- Engage with providers and partners to make sure that subrogation values are maximised.
- Ensure work is prioritised effectively.
- Carry out other Adhoc tasks as required meeting business needs.
- Contribute to projects and business change when required.
**Experience Required**:
- Experience in medical administration, claims environment or customer service focused organisation
- Ability to meet/exceed targets and manage multiple priorities
- Preferred if English and Arithmetic qualification gained.
- Claims Knowledge.
**Skills**:
- Must possess excellent attention to detail, with a high level of accuracy
- Strong interpersonal skills with good verbal and written communication to internal and external partners. This will incorporate call handling skills when required.
- Confident in making decisions and exercise judgment where necessary
- 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
**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._
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