Claims Associate Representative

2 days ago

Bengaluru Karnataka, India The Cigna Group Full time

Main Duties/Responsibilities:

- 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.

Experience Required:

- Customer focused with ability to identify and solve problems.
- Ability to meet/exceed targets and manage multiple priorities.
- Preferred if English and Arithmetic qualification gained.
- Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential.

**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.

**About The Cigna Group**

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.

  • Claims Representative

    1 week ago

    Bengaluru, Karnataka, India Nucleon Health Full time

    Join Our Team as a Health Insurance Claims Representative Location: Vadodara | Full-time | On-site Role OverviewWe're looking for a Health Insurance Claims Representative who is passionate about helping people and ensuring smooth claim experiences. In this role, you'll be the bridge between customers, hospitals, and insurers—handling claims with...

  • Claims Associate

    6 days ago

    Bengaluru, Karnataka, India 1path2peace Full time US$ 50,000 - US$ 1,00,000 per year

    Company DescriptionWe suggest you enter details here.Role DescriptionThis is a full-time on-site role for a Claims Associate (Cashless Claims) located in Bengaluru. The Claims Associate will be responsible for handling cashless claims, processing customer requests, analyzing claims data, and providing excellent customer service. The role includes interacting...

  • Claims Representative

    6 days ago

    Bengaluru, Karnataka, India The Cigna Group Full time

    **JOB DESCRIPTION**: **About US** At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great...

  • Claims Representative

    4 days ago

    Bengaluru, Karnataka, India The Cigna Group Full time

    **About US** At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our...

  • Claims Representative

    2 weeks ago

    Bengaluru, Karnataka, India The Cigna Group Full time

    About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our...

  • Claims Representative

    4 days ago

    Bengaluru, Karnataka, India The Cigna Group Full time

    About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our...

  • Claims Representative

    1 week ago

    Bengaluru, Karnataka, India The Cigna Group Full time

    **About Us** At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for...

  • Claim Process Associate

    1 week ago

    Mysuru, Karnataka, India SAS Poorna Arogya Health Care Pvt Ltd Full time

    The Claims Process Associate is responsible for managing and processing insurance claims by reviewing documentation, verifying details, and ensuring claims are processed in a timely and accurate manner. The role involves communication with customers, insurers, and other parties to resolve issues and ensure claims are settled appropriately. **Key...

  • Process Associate

    6 days ago

    Bengaluru, Karnataka, India Y.R. Gaitonde Centre for AIDS Research and Education (YRG CARE) Full time

    **Process Associate: Travel Claims** **Location: Bangalore/Chennai** Introduction: Established in 1993, YRGCARE is a premier non-government organization providing comprehensive HIV services in India. Its objective is to provide prevention, care, support, and treatment services for people living with HIV/AIDS, to prevent new infections, and to ensure that...

  • Associate- Cashless Claims Level 2

    1 week ago

    Bengaluru, Karnataka, India Plum Benefits Full time

    **Bengaluru** **Customer Success - Customer Success /** **Full Time /** **On-Site** **About this role**: - The job purpose of a Cashless Claims Team Associate is to process and manage cashless claims for employees. This includes verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring that claims are processed...