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Claims Adjudication Specialist

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Toronto, Ontario, Canada The Cigna Group Full time

The Cigna Group - Claims Processor Role

The Claims Processor at The Cigna Group plays a vital role in evaluating Non-Insured Health Benefit Dental Claims for indigenous populations across Canada. This position is crucial for enhancing customer satisfaction by adhering to Claims Processing Service Levels and reducing financial penalties.

Key Responsibilities:

  • Register, assess, validate, and adjudicate claims on a daily basis.
  • Manage pending claims to ensure resolution within Service Level Standards.
  • Efficiently process claim adjustments and returns.

Qualifications:

  • Proven experience in data entry with a focus on accuracy.
  • Background in operational environments or the health insurance sector is preferred.
  • Strong emphasis on customer service.
  • Ability to thrive in a fast-paced team-oriented environment.
  • Proficiency in Microsoft Office applications.

About The Cigna Group:

The Cigna Group is a prominent health benefits manager dedicated to delivering innovative healthcare solutions. With a commitment to enhancing health decisions for plan members, the organization strives to lower drug benefit costs for plan sponsors.

Employee Benefits:

The selected candidate will enjoy a competitive salary and a comprehensive benefits package. The Cigna Group fosters a diverse and inclusive workplace, providing accommodations for individuals with disabilities.