Claims Administrator

2 weeks ago

Riyadh, Saudi Arabia Cigna Full time

This role is at the heart of Cigna’s claims processing operation in the Middle East. Claims are received from both members and providers, and the position holder will be required to organise and track workflow daily to facilitate the consistent attainment of turnaround times and other critical success factors for Claims. The position holder will also be expected to respond to queries regarding claims and coming from multiple in-house and external sources; thereby freeing the Cigna Claims Team to focus exclusively upon attaining daily targets. The position holder will be required to be organised and efficient and accurate with strong interpersonal skills, and preferably an appreciation of medical terms.

**Responsibilities**:
Take receipt of submitted claim batches from providers, and individual claims direct from members.
Log and file claims received for tracking and planning and processing purposes.
Scanning and imaging of hard-copy claims received.
Operations planning; compiling processing schedules for the Claims Team.
Assemble processing batches and assign to team members.
Accepting finalised claims; updating status in systems and trackers as required.
Reach out to providers and members; source additional information as needed to finalise claims.
Resolve inbound queries from providers and members; maximise first time contact resolution.
Regular claims status reporting, as specified.

What will you bring?

1 years’ experience performing a similar role; combining administration and stakeholder contact.
Experience of working for an international company, preferred but not essential.
Previous claims or insurance experience preferred but not essential.
Broad awareness of medical terminology, advantageous.
Excellent organisational skills, capable of following and contributing to agreed procedure.
Strong administration awareness and experience, essential.
First class written and verbal communication skills, essential.
Ability to communicate across a diverse population, essential.
Capable of working independently, or as part of a team.

**Good time management**: ability to work to tight deadlines.
Flexible and adaptable approach, sometimes working in a fast-paced environment.
Passion for achieving agreed objectives.
Confident in calling out when facing issues

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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