Claims Systems Configuration Associate

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $22 - $33 / hour

⏰ Full Time

⚪️ Entry-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Complete claims systems testing tasks with guidance from a mentor and/or Claims Systems Quality Review Supervisor • Use Jira and project methodologies to maintain tickets for claims systems testing requests • Test proprietary claim edits, industry-standard claim edits, and benefit rules for claim products and programs • Review, coordinate, and outline claims systems testing for claims configuration specialists • Document testing in a Microsoft Excel tracker • Test configuration changes to validate claims processing against requirements • Use SQL queries to review configuration, testing, and claims data • Investigate claim processing and perform claims configuration root-cause analysis

🎯 Requirements

• High school diploma or GED required • Associate degree in a computer-related field preferred • 2+ years of claims and health care data experience required • 1+ years of experience in medical claims systems configuration preferred • Experience running simple queries using Microsoft SQL • Experience with Microsoft Access databases, including queries and data manipulation, preferred • Proficiency in Microsoft Excel, including pivot tables, charts, and formulas, required • Strong technical competence, critical thinking, and communication skills • Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload for home work

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence