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Claims Processor

2 months ago

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

We are seeking a highly skilled Claims Processor to join our team at The Cigna Group. As a Claims Processor, you will play a critical role in ensuring the timely and accurate processing of dental claims for indigenous people in Canada.

Your primary responsibility will be to register, review, validate, and adjudicate claims on a daily basis, ensuring that all pended claims are processed within the standard turn-around time. You will also be responsible for monitoring and handling pended claims, returning claims that are missing mandatory client/benefit information, and adjusting claims that are given to you by call centre/Supervisor/Senior Processors/QA Analyst due to errors.

Key Responsibilities
  • Register, review, validate, and adjudicate claims on a daily basis
  • Monitor and handle pended claims
  • Return claims that are missing mandatory client/benefit information
  • Adjust claims that are given to you by call centre/Supervisor/Senior Processors/QA Analyst due to errors
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 committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.