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Claims Clerk
2 months ago
We are seeking a highly organized and detail-oriented Claims Clerk to join our team at The Cigna Group. As a Claims Clerk, you will play a critical role in ensuring the smooth operation of our claims processing department.
Key Responsibilities- Process and manage claims in a timely and accurate manner
- Sort, batch, and scan claims by benefit into bundles of 25 or 50 on a daily basis
- Manage claim returns, including printing labels and returning letters for mail out
- Log claim returns on a daily basis
- Pull claim adjustments as requested by the Call Centre
- Pull claims for Auditor using system-generated reports
- Filing of processor claims
- Answering delivery door on a daily basis
- Identify efficiencies and process improvements
- Ensure service standards and quality targets are met by monitoring and participating in team activities
- Support the management of vendors, including Canada Post, Superior Courier, Iron Mountain, and Neopost Canada
- Order office supplies
- Manage and troubleshoot office equipment, including Fax Machines, Printers, and Neopost
- Support internal and external mail services, including Purolator requests and inter-office mail
- Assist with facility issues and concerns
- Collaborate with all departments, including managers, supervisors, seniors, and staff
- 2+ years' experience in a clerical/administrative position
- College degree or High school diploma/GED required
- Excellent office and customer service skills
- Ability to multi-task in a busy work environment
- Able to take direction well and work with minimal supervision
- Demonstrated track record of reliability and dependability
- Demonstrated team player
- Excellent interpersonal skills to facilitate change management
- Must be detail-oriented with strong organizational abilities
- Proven ability to manage multiple high-priority tasks in a fast-paced environment
- Proven time and resource management skills to ensure deadlines are met
- Strong analytical skills
- Ability to work effectively with internal and external customers
- Excellent verbal and written communication skills
- Must be proficient in Microsoft Office (Excel, Word, Outlook)
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, behavioral 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 provide Active Pharmacy services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, 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. The candidate will be required to provide supporting documentation to receive clearance if required.
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.
We are committed to creating a working environment that is barrier-free and are prepared to provide accommodation for people with disabilities.
