Background information about the job or company (e.g., role context, company overview)

Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world. Within its international division, a dedicated unit - headquartered in Belgium - focuses on the needs of International...

Responsibilities or duties

• Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.
• Monitor and highlight high cost claims and ensure relevant parties are aware.
• Monitor turn around times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable.
• Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first call resolution where possible.
• Interface effectively with internal and external customers to resolve customer issues.
• Identify potential process improvements and make recommendations to team senior.
• Actively support other team members and provide resource to enable all team goals to be achieved.
• Work across European business in line with service needs.
• Carry out other adhoc tasks as required meeting business needs.

Qualifications or requirements (e.g., education, skills)

Experience Needed:

• At least 1 year of experience in a claims role within a healthcare, insurance, or related environment.
• Customer focused with ability to identify and solve problems.
• Ability to meet/exceed targets and manage multiple priorities.
• Proficient in Microsoft Office applications.
• Demonstrated proficiency in mathematics, with strong attention to detail and accuracy when handling calculations and numerical information.

Skills:

• Must possess excellent attention to detail, with a high level of accuracy.
• Strong interpersonal skills with good verbal and written communication to internal and external clients.
• Strong customer focus with ability to identify and solve problems.
• Ability to work under own initiative and proactive in recommending and implementing process improvements.
• Ability to organise, prioritise and manage workflow to meet individual and team requirements
• Ability to exercise judgment.

• Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.
• Monitor and highlight high cost claims and ensure relevant parties are aware.
• Monitor turn around times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable.
• Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first call resolution where possible.
• Interface effectively with internal and external customers to resolve customer issues.
• Identify potential process improvements and make recommendations to team senior.
• Actively support other team members and provide resource to enable all team goals to be achieved.
• Work across European business in line with service needs.
• Carry out other adhoc tasks as required meeting business needs.

• Must possess excellent attention to detail, with a high level of accuracy.
• Strong interpersonal skills with good verbal and written communication to internal and external clients.
• Strong customer focus with ability to identify and solve problems.
• Ability to work under own initiative and proactive in recommending and implementing process improvements.
• Ability to organise, prioritise and manage workflow to meet individual and team requirements
• Ability to exercise judgment.

• At least 1 year of experience in a claims role within a healthcare, insurance, or related environment.
• Customer focused with ability to identify and solve problems.
• Ability to meet/exceed targets and manage multiple priorities.
• Proficient in Microsoft Office applications.
• Demonstrated proficiency in mathematics, with strong attention to detail and accuracy when handling calculations and numerical information.