Pharma Claims Representative
BengaluruFull-time1–4 yrsPosted 3 weeks ago
Closed
Junior pharma role at IN1 Cigna Health Solutions in Bengaluru. Needs 1+ years and a degree.
About the role
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.
What you'll do
- 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
- Interface effectively with internal and external customers to resolve customer issues
What you need
- Claims processing
- Communication