Medical Claims Review Associate Analyst - With languages at Cigna

YOUR JOB

The clinical CARE team is looking for a Medical Claims Review Associate Analysts (Band 2). As part of the claims review team you will be responsible for the medical coding and cost review of all IO Inpatient Provider claims.

You will be:

• Interpreting key information from medical reports/invoices and translating this into medical coding in our hospitalization database and/or Salesforce application ‘Healthcloud’
• Analyzing invoices from providers all over the world to identify cost containment opportunities and you will be taking appropriate actions in line with our procedures to avoid unnecessary costs for our clients ,members and Cigna
• Collaborating with colleagues in different teams and roles (Claims Analysts, CSR’s, Doctors, Nurses etc.) across the business while bridging cultural differences & backgrounds
• Connecting with providers to obtain (additional) medical information
• Attending weekly/Monthly/ad-hoc meetings with the team & supervisor to discuss and improve internal workflows and collaboration
• Serving as a contact person for other teams within Clinical and the wider business for expert advice on R&C calculations
• Taking ownership of your production making sure you meet the expected outputs

YOUR PROFILE

• Proficient in English
• Active or passive knowledge of French/German/Italian. Additional languages are a plus
• Experience with processing provider claims
• Clinical background is a plus
• Communicative and not afraid to approach people
• Proactive and driven
• You can deal with integrity
• Tech savvy, not afraid to work in/with different systems/applications at the same time
• Eye for detail and love for accurateness
• Flexible with the ability to shift priorities when required
• Not afraid of moving forward in the midst of ambiguity

OUR OFFER

• A permanent job in an international and growing enterprise
• A nice team of enthusiastic and diverse CARE team members in different work locations
• A dynamic, young and entrepreneurial company culture that values and stimulates initiative
• Flexible working hours with the opportunity to work from home