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Claims Processor Associate

Company Name:
Cigna
The Claims Associate identifies necessary steps and processes claims of varying complexity levels,dependent on skill level. Using complex systems- Research, analyze, and price claims in accordance with processing guidelines as well as Provider and Customer contracts.
DUTIES AND RESPONSIBILITIES
-Researches and computes provider contracts using basic math skills and multiple programs for claim allowed amounts.
-Locates and interprets complex information from a number of databases in order to process claims.
-Completes tasks quickly with the ability to understand complex written directions,instructions, and technical information.
-Performs follow-up actions necessary to ensure customer satisfaction.
-Ability to take personal ownership for meeting/exceeding all Key Performance Indicators as well as quality standards
- Understands and utilizes all Management Operating System tools to include Daily Production Log,Performance Profile, and various claim systems.
-Maintains established schedule adherence and compliance standards.
-Demonstrates ability to:
Take information frommany sources, follow guidelines and make educated decisions quickly
Use multiple windows based applications simultaneously
Use of keyboard shortcuts or hot key processes
Function in a team based/matrix environment
Learn new skills rapidly - self motivated and career driven
Comfortable with ambiguity and change
Possesses:
Strong commitment, drive and motivation to provide excellent customer service
Commitment to work - adheres to schedules
Abilityto communicate clearly, professionally and empathetically- both verbal and written
Appropriate sense of urgency and strong attention to detail
Experience working in independently or in a virtual environment a plus
Ability to organize and prioritize work, meeting quality standards and Key Performance Indicators while managing changing priorities
Experience:
HighSchool diploma or equivalent is required
College education or related work experience preferred
Previous claim processing experience is a plus but not required
Work experience inthe Service Industry preferred
Competencies Needed for Success
Problem Solving
Learning and Applying Quickly
Customer Focus
Organizing
Job: Bus Ops--Claims
Title: Claims Processor Associate
Location: Illinois-Bourbonnais
Requisition ID: 14002011

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