Job Description

Job Description/Requirements

Cigna is a global health service company dedicated to helping people improve their health, well-being and sense of security. Cigna has almost 47,000 employees who service 85 million customer relationships throughout the world.

Within its international division, a dedicated unit focuses on the needs of International Organisations. This unit, headquartered in Belgium, has over 50 years of experience in designing, implementing and managing international group health insurance and employee benefits programmes for international and locally recruited staff from Intergovernmental (IGO) and Nongovernmental (NGO) organisations. These programmes cover medical as well as incapacity, disability and life benefits, with a specific focus on keeping employees healthy and productive through a range of health and well-being services.

The International Organisations unit is specialised in servicing customers in remote areas as well as central hubs with five service centres in each time zone (Miami, Antwerp, Madrid, Nairobi and Kuala Lumpur) and local representations on every continent.

YOUR JOB

Role summary
The clinical CARE team is looking for 2 Medical Reports Review Associate.
As part of the claims review team you will be primarily responsible for the medical coding of all IO Inpatient Provider claims.

You will be:
•    Interpreting key information from medical reports/invoices and translating this into medical coding in our hospitalizationdatabase and/or Salesforce application ‘Healthcloud’
•    Analysing 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 contactperson 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 is a plus
•    Experience with processing provider claims is a big plus
•    Clinical background is a plus
•    Communicative and not afraid to approach people
•    Proactive and driven
•    You can deal with integrity
•    Tech savy, 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
•    Attractive salary conditions with extralegal benefits

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