Pharmacy Job at Cigna Healthcare | Apply Now for the Claims Representative Position
Join Cigna Healthcare, a global leader in health insurance and wellness services, as an International Insurance Claims Processor in Bengaluru, India. This Pharmacy Job is your opportunity to contribute to a company that values responsible growth, diversity, and employee well-being. If you have a graduate degree in Medical, Paramedical, Pharmacy, or Nursing with 1+ year of healthcare claims processing experience, this Cigna Job is perfect for you.
- Job Post: Claims Representative
- Location: Bengaluru, Karnataka, India
About The Company
Cigna Healthcare is a global health services company dedicated to improving the health, well-being, and peace of mind of those it serves. Headquartered in Bloomfield, Connecticut, Cigna offers a wide range of healthcare, pharmacy, dental, and wellness solutions to individuals, employers, and organizations worldwide. With a strong focus on preventive care, affordability, and personalized health support, Cigna combines innovation, technology, and compassion to help people lead healthier, more secure lives across more than 30 countries.
Job Description
Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles.
Responsibilities of the Pharmacy Job
- Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals.
- Monitor and highlight high-cost claims and ensure relevant parties are aware.
- Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable.
- Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible.
- Interface effectively with internal and external customers to resolve customer issues.
- Identify potential process improvements and make recommendations to team senior.
- Actively support other team members and provide resource to enable all team goals to be achieved.
- Work across International business in line with service needs.
- Carry out other ad hoc tasks as required in meeting business needs.
- Work cohesively in a team environment.
- Adhere to policies and practices, training, and certification requirements.
Requirements
- Working knowledge of the insurance industry and relevant federal and state regulations.
- Good English language communication skills, both verbal and written.
- Computer literate and proficient in MS Office.
- Excellent critical thinking and decision-making skills.
- Ability to meet/exceed targets and manage multiple priorities.
- Must possess excellent attention to detail, with a high level of accuracy.
- Strong interpersonal skills.
- Strong customer focus with ability to identify and solve problems.
- Ability to work under own initiative and proactive in recommending and implementing process improvements.
- Ability to organise, prioritise and manage workflow to meet individual and team requirements.
- Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential.
Education Requirements
Graduate (Any) – Pharmacy
Experience Range
Minimum 1 year of experience in healthcare services or processing of healthcare insurance claims.
