Claims Representative

This is a fully remote position, open to applicants in Alabama, +2 more states.

📋 Description

• Evaluate claim images to ensure proper routing and handling.

• Locate member information within Cigna systems and update database fields to direct items to correspondence or appeals.

• Adhere to established policies and procedures to facilitate accurate processing and automation.

• Utilize multiple computer applications concurrently and navigate systems with efficiency.

• Recognize discrepancies, errors, or missing information.

• Achieve or surpass quality, production, and KPI benchmarks.

• Complete thorough training, which includes virtual classroom sessions, on-the-job learning, feedback, and progressively increasing productivity and quality expectations.

• Meet set accuracy, volume, and production metrics following training.

⛳️ Requirements

• High school diploma or equivalent required.

• Exceptional attention to detail, critical thinking, and precision.

• Capability to manage various tasks, prioritize responsibilities, and meet deadlines in a dynamic environment.

• Proficient in Microsoft Office applications, including Word, Excel, Outlook, OneNote, and PowerPoint.

• Ability to efficiently navigate multiple computer applications, including the use of keyboard shortcuts.

• Strong organizational, interpersonal, written, and verbal communication skills.

• Solid customer service orientation, integrity, and personal accountability.

• Capacity to learn about benefit plans, systems, applications, and job-specific processes.

• Ability to type and utilize a keyboard for extended durations.

• Preferred experience in health insurance processing or related fields.

• Skill to work independently with strong self-discipline, accountability, and consistent follow-through.

• Capability to effectively engage in a virtual work environment using Outlook, Teams, and other collaboration tools.

• Willingness to accept feedback, adapt to changes, and implement coaching.

• For remote work, a cable broadband or fiber optic internet connection with a minimum of 10 Mbps download and 5 Mbps upload is required.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical, vision, and dental benefits commencing on the first day of employment.

• Access to well-being and behavioral health programs.

• 401(k) plan.

• Company-paid life insurance.

• Tuition reimbursement available.

• A minimum of 18 days of paid time off each year.

• Paid holidays.

• Leaves of absence.

• Virtual classroom instruction and on-the-job training provided.