Job Description
**Job Description Summary**
We are seeking a detail-oriented professional to deliver administrative and business services within the Claims department. This role involves examining and processing paper and electronic claims, determining whether to return, pend, deny, or pay claims in line with company policies. You will adjudicate claims, settle with claimants according to policy provisions, and verify completeness and validity by comparing applications and provider statements with policy files and records.
You will interact with agents and claimants via mail to correct errors, resolve omissions, and investigate questionable entries. Most issues are routine in nature. A solid understanding of claims processes and operating procedures is essential. Work is performed under clearly defined guidelines and close supervision.
ABOUT US:
Cigna Corporation is a global health service company dedicated to improving the he...
We are seeking a detail-oriented professional to deliver administrative and business services within the Claims department. This role involves examining and processing paper and electronic claims, determining whether to return, pend, deny, or pay claims in line with company policies. You will adjudicate claims, settle with claimants according to policy provisions, and verify completeness and validity by comparing applications and provider statements with policy files and records.
You will interact with agents and claimants via mail to correct errors, resolve omissions, and investigate questionable entries. Most issues are routine in nature. A solid understanding of claims processes and operating procedures is essential. Work is performed under clearly defined guidelines and close supervision.
ABOUT US:
Cigna Corporation is a global health service company dedicated to improving the he...
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