Claims Processor

1 week ago


Toronto, Ontario, Canada The Cigna Group Full time
About the Role

The Cigna Group is seeking a highly skilled Claims Processor to join our team in a 3-month contract position. As a Claims Processor, you will play a critical role in ensuring the timely and accurate adjudication of Non-Insured Health Benefit Dental Claims for indigenous people in Canada.

Key Responsibilities
  • Register, review, validate, and adjudicate claims on a daily basis to meet minimum accuracy Service Level Standards.
  • Monitor and handle pended claims to ensure they are settled according to the Service Level Standards.
  • Return claims that are missing mandatory client/benefit information, addressing envelopes and attaching provider return letters as needed.
  • Process claim adjustments, scanning and reviewing claims to ensure errors have been made, and feeding back information to the call centre.
Requirements
  • Experience with data entry and excellent accuracy.
  • Experience working in an operational setting is an asset.
  • Experience in the group health insurance industry is an asset.
  • Strong focus on customer service is required.
  • Ability to work effectively in a fast-paced, rapidly changing environment.
  • Excellent organizational and interpersonal skills.
  • Ability to work within a team.
  • Working knowledge of Microsoft Office Suite of Tools (Word, Excel, Outlook).
  • Ability to work or interpret data independently.
About The Cigna Group

The Cigna Group is a global health service company dedicated to improving the health, wellbeing, and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates, including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

We are a leading health benefits manager and have been recognized as one of the most innovative. Our clients include Canada's leading insurers, third-party administrators, and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment.

We promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors. It will be a condition of employment that the successful candidate obtains an Enhanced Reliability Clearance from the Federal Government.

We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service, and alignment.

We are an equal opportunity employer that promotes a diverse, inclusive, and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.


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