Provider Reconciliation Representative -id-16205

YOUR ROLE

  • Providing customer services for international claims for reconciliation related files.
  • Responding to incoming queries in an appropriate and timely manner, advantage to have knowledge in SalesForce. Appropriate responses may require in-depth analysis and involve expert advice (Medical Consultant, Account Manager, Network Manager, Legal Advisor etc). An appropriate response is correct, clear, concise and provider & stakeholder friendly.
  • Answering incoming tasks via queue from internal stakeholder, or those escalated by the providers for expert advice.
  • Taking ownership of difficult or high-value files.
  • Responding via the most efficient channel (e.g. e-mail, SF, etc).
  • Following up on the individual workload and taking appropriate action when agreed targets are not met.
  • Providing accurate file information to internal stakeholders where required.

Monitor all incoming Tasks for upload & ensure they are reviewed and acted on within 2 business days.

Tag CSR & amend the status in Sales Force is any communication needs to be done to the provider.

  • Tracking procedural irregularities and raising these with the Team Seniors.
  • Actively working to maintain a co-operative and friendly working environment.

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YOUR PROFILE

  • You have a minimum diploma or equal through experience.
  • You have good knowledge of English (both spoken and written), any additional language is an asset but not essential.
  • Medical terminology - added advantage.
  • Use of necessary reference works.
  • Knowledge of Microsoft Office and proprietary IT applications
  • Written skills: conveys messages in clear language, paying attention to terminologies/circumstances

and appropriate style.

  • Provider focused: communicates empathically, precisely and factually.
  • Skilled decision-maker: takes the right action on allocated files based on the information available.
  • Accurate: works accurately by giving complete and correct answers.
  • Responsible: ensures that assigned contracts are followed up in a diligent, timely and accurate manner.
  • Disciplined: follows procedures, agreements and document flows correctly.
  • Efficient: able to strike the right balance between quality and quantity.
  • Team-player: enjoys working as part of a team.
  • Computer-literate: quick to learn current office applications and Cigna International in-house systems.
  • Discrete: exercises utmost discretion when dealing with confidential (medical) information.

Our offer

  • A challenging job in an international and growing enterprise.
  • A dynamic, young and entrepreneurial company culture that values and stimulates initiative.

About The Cigna Group 

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

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10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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