Cigna is hiring make money working from home in lots of states now!
This large firm gives enterprise companies to tens of millions of consumers. This Fortune 100 firm makes billions of {dollars}. Cigna is hiring distant customer support consumption reps in lots of states now!
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Claims Representatives
Assist our clients keep their well being, well-being and sense of safety by guaranteeing medical claims are processed precisely and well timed whereas defending the confidentiality of our buyer’s private well being info. Beneath direct supervision performs duties regarding the claims adjudication course of from assessment of the declare kind, verification of eligibility, verification of coordination of advantages with insurance coverage carriers, and finalizing based mostly on the well being advantages plan. Technical recommendation and help will likely be offered by Technical Coaches.
Tasks
- Evaluate declare submissions to substantiate required paperwork have been acquired, confirm medical codes, eligibility, different insurance coverage, authorizations, and account profit plans.
- Follows established insurance policies and procedures to pay, pend for added info, or deny claims.
- Adapt to and positively affect change by accepting suggestions with a development mindset to repeatedly enhance.
- Comply with processes and work independently to satisfy or exceed Key Efficiency Indicators (KPI)
- Means to successfully excel in a digital work atmosphere by means of lively participation in workforce huddles, Supervisor 1×1 or check-ins, utilizing quite a lot of digital instruments, i.e. Outlook e mail, Skype for Enterprise, Cisco Net-Ex or different comparable functions.
- Maintains a excessive stage of accuracy in all duties carried out.
- Staff members will likely be held accountable for assembly and sustaining minimal high quality and manufacturing requirements by means of use of Administration Working Methods (MOS) instruments: Day by day Manufacturing Log (DPL), Efficiency Profile, Declare Evaluate instrument, and different reporting techniques.
- Associate with the Useful resource Administration Group (RMG) on Workflow Device (WFT), pended claims, or different stock points.
- Associate with Technical Coaches to know declare processes and procedures.
Expertise Required:
- Should possess robust consideration to element and problem-solving expertise with a excessive stage of accuracy
- Excessive stage of laptop navigational expertise with expertise utilizing shortcut keys
- Proficient in Microsoft Workplace functions, Phrase, Excel, Outlook, OneNote, and Energy Level
- Data of medical and insurance coverage trade terminology together with CPT/ICD-10 codes
- Glorious organizational, interpersonal, written and verbal communication expertise
- Expertise in delivering distinctive customer support
- Means to carry out comfortably in a fast-paced, deadline-oriented work atmosphere
- Should be capable of kind and use a keyboard for prolonged intervals of time
- Integrity and private accountability for job efficiency and expectations
- Confirmed capability to study quite a lot of profit plans
Please notice: We’re not in a position to rent residents of the next states: Louisiana, Nebraska, Rhode Island
If you’ll be working at dwelling sometimes or completely, the web connection have to be obtained by means of a cable broadband or fiber optic web service supplier with speeds of not less than 10Mbps obtain/5Mbps add.
For this place, we anticipate providing an hourly fee of 17 – 23 USD / hourly, relying on related elements, together with expertise and geographic location.
This function can be anticipated to be eligible to take part in an annual bonus plan.
We would like you to be wholesome, balanced, and really feel safe. That’s why you’ll take pleasure in a complete vary of advantages, with a give attention to supporting your complete well being. Beginning on day one among your employment, you’ll be supplied a number of health-related advantages together with medical, imaginative and prescient, dental, and well-being and behavioral well being applications. We additionally supply 401(okay) with firm match, firm paid life insurance coverage, tuition reimbursement, a minimal of 18 days of paid break day per yr and paid holidays. For extra particulars on our worker advantages applications, go to Life at Cigna.
We’re individuals within the Amazon Associates program and different affiliate applications. There are referral hyperlinks on this web page, and I could obtain a small fee, for gratis to you, if you are going to buy by means of my hyperlink. Thanks.
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