Service Administrator / Customer Service Rep

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.
We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being.
Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Health insurance intake claims Intake processing for individual, employer, group, and provider and general administration duties.

Responsible for organizing and processing the flow of incoming and outgoing documents (paper & electronic) in a back-office environment. The candidate ensures there is consistency in timely delivery of quality and quantity to meet set parameters measures to meet Service Level Agreements

Receiving and documenting claims both electronic and paper claims
Sorting, processing, and vetting claims firsthand for claims payment and ensuring they are accurately assigned.
F ile management and classification of data and supporting reporting compilation.
Electronic transfer of received claims to the various platforms.
Managing the flow between members and provider claims
Processing member and provider claims within stipulated Turn Around Times
Managing the different channels through which claims are received.
Active language knowledge of at least English (additional languages are a plus)
Self-Driven and can work with little or no supervision.
Proficient in the use of Spreadsheets, word-processing and associated office IT Skills with CRM systems (e.g.) Salesforce with accurate data inputting.
Education*: new Diploma and Bachelors degree (Any) - medical, Paramedical, Commerce, Statistics, Mathematics, Economics or Science, guided by job market
Experience Range* : Role open to new or early career Diploma and Bachelors Degree, guided by job market
Routine Operations Tasks execution

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.