
10,000+ employees
Founded 1982
🏥 Healthcare
⚕️ Healthcare Insurance
💊 Pharmaceuticals
Healthcare • Healthcare Insurance • Pharmaceuticals
The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.
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10,000+ employees
Founded 1982
🏥 Healthcare
⚕️ Healthcare Insurance
💊 Pharmaceuticals
Healthcare • Healthcare Insurance • Pharmaceuticals
The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.
• Support the Service Model through claim problem analysis, root cause identification, and resolution • Collaborate with matrix partners to identify, resolve, and improve Accounts Receivable issues • Engage, consult, and influence matrix partners to achieve service improvements and minimize contract interpretation issues • Drive root-cause analysis trending related to Accounts Receivable resolution • Lead research into system issues and identify appropriate business operations solutions • Manage escalated issues through appropriate workflow tools • Communicate recommendations for service improvements identified through root-cause analysis • Communicate and educate internal partners about issues and trends to minimize errors and improve claim accuracy • Assess how contract setup, business policies, and technology affect claim payment • Participate in meetings as a Claims Subject Matter Expert • Provide education on Accounts Receivable processes to internal partners • Participate in or lead special project initiatives • Achieve or exceed Service Level Agreements
• Associate's Degree or higher strongly preferred, or equivalent work experience required • 3+ years of experience in claims processing required • 3+ years of experience in claims administration highly preferred • Advanced knowledge of Proclaim and Facets required • Advanced knowledge of other Cigna claim processing systems preferred • Intricate knowledge of current claim business practices, policies, and procedures • Ability to connect claim knowledge with technology and claim payment outputs • Ability to navigate across business units to identify root cause • Solid proficiency in Excel, including basic formulas, VLOOKUPs, filtering, and formatting • Time management, task analysis and breakdown, and resource utilization skills • Understanding of the effect of claim outcomes on provider satisfaction • Ability to interact successfully with internal and external customers at all levels • Ability to take ownership of tasks and projects and work under minimal supervision • Ability to understand the full claims payment process and its effect on provider satisfaction • Home internet through cable broadband or fiber optic service with at least 10 Mbps download and 5 Mbps upload
• Annual bonus plan eligibility • Medical benefits starting on day one • Vision benefits starting on day one • Dental benefits starting on day one • Well-being and behavioral health programs starting on day one • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Work-at-home arrangement
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