上海招聘

Main duties/Responsibilities                                                                                                                                                                            

            

·         Well handle recoupment and reconciliation works, communicate with providers and members via call and email for collection and explanation.

    

·         Work with cross function teams, such as Finance, CSR, Eligibility, Network, Client Management, etc. Ensure recoupment work go smoothly.

    

·         Follow Claim Manual and SOP strictly, adjudicate claims according to benefit policies, and meet both financial/procedure accuracy and TAT target on claims adjudication.

    

·         Adjust error claims according to actual situation.

    

·         Monitor and highlight high cost claims and ensure relevant parties are aware.

    

·         Actively support Team Leader and work with claim colleagues to enable all operational goals to be achieved

    

    

    

Experience and Skills Required

        

·         Bachelor Degree with CET-6 or above

    

·         English and Mandarin fluency – written and orally

    

·         Good communication skills

    

·         Sense of team works and customer service

    

·         Solid knowledge of health insurance, at least 3 years working experience on claims/recoupment works

    

·         Good at basic Microsoft applications (Word, Excel, Visio, MS Outlook and PowerPoint, etc.)

Cigna is a global health services company dedicated to helping people improve their health, well-being and sense of security. Over 40,000 employees serve 95 million customers in many places around the globe and support our wide-range of international health insurance plans to help meet the needs of individuals, families and businesses.
 
Now the Cigna China Center needs you. You are welcome to join us.