YOUR JOB

Scope

Critical analysis and processing of claims for medical expenses within the fixed turn around time.

Job content

Claims processing

• Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality.
• Accurate data input to the system applications.
• Positioning him/herself analytically and critically in the context of cost management and in respect of existing working methods.
• Following up his/her own workload (volume and timing): keeping an eye on chronology and processing time of the work volume and taking suitable actions.
• Participate efficiently in processing the flow of claims: inform the Team Leader about claims lacking clarity and about possible ways of optimizing the processes.
• A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators.

  In relation to other positions

• Providing accurate communication about a dossier to the interested internal employee.
• Tracking irregularities in procedures and highlighting these to the Team Leader.
• Raising problems or sensitivities with your superior.
• Participating actively in an agreeable and amicable atmosphere.
   

  PROFILE

Education Level

• Bachelor Degree or similar by experience

  Specific Knowledge
   

• Active knowledge of English
• Passive knowledge of other languages such as German, Spanish, French, etc
• Policies cover
• Medical terminology
• Use of necessary reference works

  Skills

• Skillful in taking decisions: takes the right action on allocated files based on the available information.
• Skillful with numbers: likes to work with numbers.
• Accurate: works accurately on the input of data, aims to work faultlessly.
• Discipline: pays attention to procedures, agreements and document flows.
• Efficient: finds a good balance between quality and quantity.
• Team player: Able to work in a team.
• Skillful with computer programs: readily learns the ropes in the use of current office applications and own Cigna International systems.
• Discreet: works discreetly with confidential (medical) information.