Claims Senior Representative, Medicare

1 week ago


Nashville, Tennessee, United States Cigna Full time

Job Title: Senior Claims Representative, Medicare

Description:
Cigna seeks a skilled Senior Claims Representative to join its team. As a key member of the Medicare claims processing team, you will be responsible for reviewing, researching, and evaluating claims to ensure accuracy and timeliness. Your expertise will be crucial in resolving complex claims issues and providing exceptional customer service.

  • Key Responsibilities:
  • Review and research claims to ensure accuracy and completeness
  • Evaluate claims and apply relevant policies and procedures
  • Communicate with providers and customers to resolve claims issues
  • Work collaboratively with team members to achieve departmental goals

Qualifications:
To be successful in this role, you will need a high school diploma or equivalent, 2+ years of experience in medical claims processing, and strong analytical and communication skills. Proficiency in multiple systems, including QNXT and Excel, is a plus.

About Cigna:
Cigna is a leading global health insurance company dedicated to improving the health and well-being of its clients and customers. We are committed to delivering exceptional customer service and creating value for our stakeholders.


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