Contract Officer, Inpatient Group Claims

Contract Officer, Inpatient Group Claims

Contract Officer, Inpatient Group Claims

Job Overview

Location
Macclenny, Florida
Job Type
Full Time Job
Job ID
43864
Date Posted
4 months ago
Recruiter
Julia Hart
Job Views
288

Job Description

The incumbent will be responsible for supporting daily claims administration, handling claims enquiries, assessing group claims and to ensure timely delivery of services to policyholders, business partners and brokerage.

Job Responsibilities:

  • Administer all group claims, from claim registration to settlement including processing payment, issuing correspondences for pending/declined cases in line with the policy terms and conditions, and all related administrative tasks within the agreed turnaround time;

  • Handle group claim enquiries from both internal and external clients;

  • Support administration of individual claims to achieve agreed service requirements;

  • Prepare regular reports for control purposes and management review

  • Responsible for data collection and data entry

  • Handle GHB and LHB cases billing settlement

  • Work closely with internal and external stakeholders

  • Work on additional assignments as requested

Job Requirements:

  • Diploma or above, preferably in insurance-related disciplines;

  • At least 3 years’ working experience in claims adjudication/administration;

  • Medical knowledge in handling group claims;

  • A good team player, able to work independently and under pressure;

  • Proficient in MS Office applications;

  • Good command of spoken and written English and Chinese.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

Job ID: 43864

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